| North Central Iowa Mental Health Center Inc | |
|
1525 W 5th St Storm Lake IA 50588-3027 | |
| (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 | 1525 W 5th St, Storm Lake, 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 1525 W 5th St Storm Lake IA 50588-3027 Ph: (800) 482-8305 |
| NPI Number | 1174991053 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174991053 | NPI | - | NPPES |
| 0159608 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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