Eywa Health, Inc | |
333 Sw 9th St Suite J Des Moines IA 50309-4440 | |
(515) 777-3075 | |
(515) 777-1719 |
Full Name | Eywa Health, Inc |
---|---|
Speciality | Social Worker - Clinical |
Location | 333 Sw 9th St, Des Moines, Iowa |
Authorized Official Name and Position | Gloria Tallulah Krause (DIRECTOR OUTPATIENT SERVICES) |
Authorized Official Contact | 5155540878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eywa Health, Inc 147 Paine St Se Ste J Bondurant IA 50035-1003 Ph: (515) 554-0878 | Eywa Health, Inc 333 Sw 9th St Suite J Des Moines IA 50309-4440 Ph: (515) 777-3075 |
NPI Number | 1336487016 |
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Provider Enumeration Date | 01/30/2013 |
Last Update Date | 05/05/2021 |
Certification Date | 05/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336487016 | NPI | - | NPPES |
600993023 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 007236 (Iowa) | Primary |
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