| Wellsource | |
|
235 S Eisenhower Avenue Mason City IA 50401 | |
| (641) 424-2075 | |
| (641) 424-9555 |
| Full Name | Wellsource |
|---|---|
| Speciality | Psychologist |
| Location | 235 S Eisenhower Avenue, Mason City, Iowa |
| Authorized Official Name and Position | Andrew M Eastwood (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6414242075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsource 235 S Eisenhower Avenue Mason City IA 50401 Ph: (641) 424-2075 | Wellsource 235 S Eisenhower Avenue Mason City IA 50401 Ph: (641) 424-2075 |
| NPI Number | 1992818249 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992818249 | NPI | - | NPPES |
| 00065243 | Medicaid | IA |
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