| Quality Case Management, In.c | |
|
203 10th Ave Nw Austin MN 55912-2909 | |
| (507) 437-9085 | |
| (507) 437-2393 |
| Full Name | Quality Case Management, In.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 203 10th Ave Nw, Austin, Minnesota |
| Authorized Official Name and Position | Gary T Corcoran (OWNER) |
| Authorized Official Contact | 5074379085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Case Management, In.c 203 10th Ave Nw Austin MN 55912-2909 Ph: (507) 437-9085 | Quality Case Management, In.c 203 10th Ave Nw Austin MN 55912-2909 Ph: (507) 437-9085 |
| NPI Number | 1235211160 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235211160 | NPI | - | NPPES |
| 871824500 | Medicaid | MN | |
| 385734401 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP3552 (Minnesota) | Primary |
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