| Healthy Minds | |
|
118 1st St Sw Waverly IA 50677-3321 | |
| (319) 404-2956 | |
| Not Available |
| Full Name | Healthy Minds |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 1st St Sw, Waverly, Iowa |
| Authorized Official Name and Position | Leeann Hoodjer (OWNER) |
| Authorized Official Contact | 3192512568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds 118 1st St Sw Waverly IA 50677-3321 Ph: () - | Healthy Minds 118 1st St Sw Waverly IA 50677-3321 Ph: (319) 404-2956 |
| NPI Number | 1043981152 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Medicare PECOS PAC ID | 2264820018 |
|---|---|
| Medicare Enrollment ID | O20211027001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043981152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Leeann E Hoodjer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104073428 PECOS PAC ID: 7214005032 Enrollment ID: I20081007000478 |
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