| North Central Iowa Mental Health Center, Inc | |
|
123 1st Ave Sw Hampton IA 50441-2102 | |
| (515) 955-7171 | |
| Not Available |
| Full Name | North Central Iowa Mental Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 123 1st Ave Sw, Hampton, Iowa |
| Authorized Official Name and Position | Aaron Mchone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8004828305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Iowa Mental Health Center, Inc 720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (800) 482-8305 | North Central Iowa Mental Health Center, Inc 123 1st Ave Sw Hampton IA 50441-2102 Ph: (515) 955-7171 |
| NPI Number | 1023282555 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023282555 | NPI | - | NPPES |
| 0159608 | Medicaid | IA | |
| 07466 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |