| Organization Name: | CENTER CASE MANAGEMENT AND DD SERVICES LLC |
| NPI Number: | 1407180300 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEEANN A TURPIN (DIRECTOR) |
| Mailing Address: | 4460 Central Way Suite 4 Chubbuck |
| State: | ID US |
| Postal Code: | 832025095 |
| Phone Number: | 2082373880 |
| Fax Number: | 2082379844 |
| NPI Enumeration Date: | 09/24/2009 |
| NPI Last Update Date: | 09/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |