| Tenco, Industries, Inc. | |
|
710 Gateway Dr Ottumwa IA 52501-2204 | |
| (641) 682-8114 | |
| Not Available |
| Full Name | Tenco, Industries, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 710 Gateway Dr, Ottumwa, Iowa |
| Authorized Official Name and Position | Pamela Sue Williams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6416828114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenco, Industries, Inc. 710 Gateway Dr Ottumwa IA 52501-2204 Ph: (641) 682-8114 | Tenco, Industries, Inc. 710 Gateway Dr Ottumwa IA 52501-2204 Ph: (641) 682-8114 |
| NPI Number | 1750427605 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750427605 | NPI | - | NPPES |
| 0094771 | Medicaid | IA | |
| 0240432 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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