Behavorial Health Options Plc | |
1522 6th St Sw Mason City IA 50401-4820 | |
(641) 512-5565 | |
Not Available |
Full Name | Behavorial Health Options Plc |
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Speciality | Community/Behavioral Health |
Location | 1522 6th St Sw, Mason City, Iowa |
Authorized Official Name and Position | Kenneth C Zimmerman (MANAGER) |
Authorized Official Contact | 6415125565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Behavorial Health Options Plc Po Box 379 Mason City IA 50402-0379 Ph: (641) 512-5565 | Behavorial Health Options Plc 1522 6th St Sw Mason City IA 50401-4820 Ph: (641) 512-5565 |
NPI Number | 1962677088 |
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Provider Enumeration Date | 04/29/2008 |
Last Update Date | 06/23/2008 |
Medicare PECOS PAC ID | 2365511813 |
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Medicare Enrollment ID | O20080523000139 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962677088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 00049 (Iowa) | Primary |
Provider Name | Kenneth C Zimmerman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356358949 PECOS PAC ID: 0749232510 Enrollment ID: I20080523000132 |
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