| North Central Iowa Mental Health Center, Inc | |
|
1000 W Lincoln Way Jefferson IA 50129-1645 | |
| (800) 482-8305 | |
| (515) 573-7898 |
| Full Name | North Central Iowa Mental Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1000 W Lincoln Way, Jefferson, Iowa |
| Authorized Official Name and Position | Aaron Mchone (EXEC 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 1000 W Lincoln Way Jefferson IA 50129-1645 Ph: (800) 482-8305 |
| NPI Number | 1871030536 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 11/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871030536 | NPI | - | NPPES |
| 0159608 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Private Victories Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 East Lincolnway, Suite 340, Jefferson, IA 50129 Phone: 712-830-2545 Fax: 712-659-3867 | |
Genesis Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Mckinley St, Jefferson, IA 50129 Phone: 515-386-3017 Fax: 515-386-4642 |