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808 5th Ave Des Moines IA 50309-1315 | |
| (515) 244-2267 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 808 5th Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Valerie Saltsgaver (CFO) |
| Authorized Official Contact | 5152463501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
808 5th Ave Des Moines IA 50309-1315 Ph: () - | 808 5th Ave Des Moines IA 50309-1315 Ph: (515) 244-2267 |
| NPI Number | 1063402618 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063402618 | NPI | - | NPPES |
| 59270 | Other | IA | BLUE CROSS BLUE SHIELD |
| 348718 | Other | IA | VALUE OPTIONS |
| 0299297 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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