MEDICARE: DALLAS COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548219074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS COUNTY

Provider Business Mailing Address
First Line	:	902 COURT ST
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-1448
Country	:	US
Telephone Number	:
Fax Number	:	515-993-5872

Provider Business Practice Location Address
First Line	:	902 COURT ST
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-1448
Country	:	US
Telephone Number	:	515-993-1736
Fax Number	:	515-993-5872

Authorized Official
Title or Position	:	CASE MANAGEMENT SUPERVISOR
Name	:	MS. DONNA F. WENDT
Credential	:
Telephone Number	:	515-993-1736

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1629161898 — DALLAS COUNTY COMMUNITY SERVICES
Practice Location Address:

902 COURT STREET , SUITE A
ADEL, IA
50003-1448

Practice Phone: 515-993-5869
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1003818691 — MICHAEL J BURGGRAAF PT MS
Practice Location Address:

516 NILE KINNICK DR. SOUTH , STE B
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1891797445 — SUSAN LOUISE DONAHUE D.O.
Practice Location Address:

710 COMMON PL STE 700
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Practice Phone: 515-875-9760
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1609864818 — ADEL HEALTHMART INC
Practice Location Address:

113 N 9TH ST
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Practice Phone: 515-993-3644
Practice Fax: 515-993-4714

1790773711 — MS. LORI ANN TABBERT RPH
Practice Location Address:

113 N 9TH ST
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Practice Phone: 515-993-3644
Practice Fax:

1730178914 — DR. CHARLES FRANCIS KELLER MD
Practice Location Address:

1120 GREENE ST
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Practice Phone: 515-993-4656
Practice Fax: 515-993-4532

Directions to “DALLAS COUNTY ” Practice Location

Language	Start Address	Practice Location

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