MEDICARE: DALLAS COUNTY COMMUNITY SERVICES

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629161898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLAS COUNTY COMMUNITY SERVICES

Provider Business Mailing Address
First Line	:	902 COURT STREET
Second Line	:	SUITE A
City	:	ADEL
State	:	IA
Zip	:	50003-1448
Country	:	US
Telephone Number	:	515-993-5869
Fax Number	:	515-993-5872

Provider Business Practice Location Address
First Line	:	902 COURT STREET
Second Line	:	SUITE A
City	:	ADEL
State	:	IA
Zip	:	50003-1448
Country	:	US
Telephone Number	:	515-993-5869
Fax Number	:	515-993-5872

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LISA KEMPF
Credential	:
Telephone Number	:	515-993-1716

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/22/2020

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Directions to “DALLAS COUNTY COMMUNITY SERVICES ” Practice Location

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