Aspire Behavioral Health Services Llc | |
816 Davis Ave Corning IA 50841-1420 | |
(641) 202-0989 | |
Not Available |
Full Name | Aspire Behavioral Health Services Llc |
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Speciality | Community/Behavioral Health |
Location | 816 Davis Ave, Corning, Iowa |
Authorized Official Name and Position | Kyle Dasher (OWNER) |
Authorized Official Contact | 6412020989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspire Behavioral Health Services Llc 816 Davis Ave Corning IA 50841-1420 Ph: (641) 202-0989 | Aspire Behavioral Health Services Llc 816 Davis Ave Corning IA 50841-1420 Ph: (641) 202-0989 |
NPI Number | 1669952040 |
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Provider Enumeration Date | 08/15/2018 |
Last Update Date | 08/15/2018 |
Medicare PECOS PAC ID | 9133477946 |
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Medicare Enrollment ID | O20180924000091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669952040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Kyle R Dasher |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982999835 PECOS PAC ID: 3274769294 Enrollment ID: I20131122000381 |
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