| Integrated Treatment Services Llc | |
|
303 S 2nd Ave W Newton IA 50208-3712 | |
| (641) 275-1119 | |
| (641) 792-6251 |
| Full Name | Integrated Treatment Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 303 S 2nd Ave W, Newton, Iowa |
| Authorized Official Name and Position | Terry C Sallis (DIRECTOR) |
| Authorized Official Contact | 6412751119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Treatment Services Llc 303 S 2nd Ave W Newton IA 50208-3712 Ph: (641) 275-1119 | Integrated Treatment Services Llc 303 S 2nd Ave W Newton IA 50208-3712 Ph: (641) 275-1119 |
| NPI Number | 1629255955 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Medicare PECOS PAC ID | 9537484340 |
|---|---|
| Medicare Enrollment ID | O20150218001316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629255955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1312 (Iowa) | Primary |
| Provider Name | Kimberly J Zantingh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275827057 PECOS PAC ID: 1850616665 Enrollment ID: I20150218001449 |
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