Extension Of Grace | |
4615 Chadwick Rd Cedar Falls IA 50613-8090 | |
(319) 255-5660 | |
(319) 237-7639 |
Full Name | Extension Of Grace |
---|---|
Speciality | Social Worker |
Location | 4615 Chadwick Rd, Cedar Falls, Iowa |
Authorized Official Name and Position | Hayley Downey (OWNER) |
Authorized Official Contact | 3192140264 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Extension Of Grace 4512 Quesada Ct Cedar Falls IA 50613-6337 Ph: (319) 240-3021 | Extension Of Grace 4615 Chadwick Rd Cedar Falls IA 50613-8090 Ph: (319) 255-5660 |
NPI Number | 1316537160 |
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Provider Enumeration Date | 01/25/2021 |
Last Update Date | 01/28/2021 |
Certification Date | 01/28/2021 |
Medicare PECOS PAC ID | 0547675365 |
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Medicare Enrollment ID | O20210209000141 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316537160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Hayley Downey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942745542 PECOS PAC ID: 1456766278 Enrollment ID: I20210209000519 |
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