Eyerly Ball Community Mental Health Services | |
1301 Center St Des Moines IA 50309-1004 | |
(515) 243-5181 | |
(515) 243-2760 |
Full Name | Eyerly Ball Community Mental Health Services |
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Speciality | Clinic/Center |
Location | 1301 Center St, Des Moines, Iowa |
Authorized Official Name and Position | Cynthia Steidl-bishop (CEO) |
Authorized Official Contact | 5152358852 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eyerly Ball Community Mental Health Services 1301 Center St Des Moines IA 50309-1004 Ph: (515) 243-5181 | Eyerly Ball Community Mental Health Services 1301 Center St Des Moines IA 50309-1004 Ph: (515) 243-5181 |
NPI Number | 1982657490 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 08/04/2016 |
Medicare PECOS PAC ID | 1456240993 |
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Medicare Enrollment ID | O20040312000982 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982657490 | NPI | - | NPPES |
07458 | Other | IA | BLUE CROSS BLUE SHIELD |
0074583 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Donner Dewdney |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215964796 PECOS PAC ID: 5890789390 Enrollment ID: I20041108001249 |
Provider Name | Joseph M Nemmers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245305564 PECOS PAC ID: 5193890119 Enrollment ID: I20080826000261 |
Provider Name | Heather J Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730344557 PECOS PAC ID: 5193854719 Enrollment ID: I20100520000041 |
Provider Name | Amanda J Erion |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548513187 PECOS PAC ID: 0547547325 Enrollment ID: I20181016003584 |
Provider Name | Veronica Holloway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710549894 PECOS PAC ID: 4486982493 Enrollment ID: I20190828001809 |
Provider Name | Sajo Joseph Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477199198 PECOS PAC ID: 3870906845 Enrollment ID: I20210112001670 |
Provider Name | Alesha N Luckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124629712 PECOS PAC ID: 7214340298 Enrollment ID: I20210112001863 |
Provider Name | Kennedy Janet Laville Thoren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144873282 PECOS PAC ID: 4789098310 Enrollment ID: I20210122000783 |
Provider Name | Brandi Munch |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871125765 PECOS PAC ID: 5092191858 Enrollment ID: I20220930001556 |
Provider Name | Emily Bridget Gearhart |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962058693 PECOS PAC ID: 0042696544 Enrollment ID: I20221006002985 |
Provider Name | Laura Elizabeth Probasco |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639650344 PECOS PAC ID: 3072989375 Enrollment ID: I20221011001852 |
Provider Name | Katherine Schickel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548838675 PECOS PAC ID: 9133589336 Enrollment ID: I20230719003919 |
Provider Name | Michaela Ann Jens |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083216063 PECOS PAC ID: 2567824378 Enrollment ID: I20230810002632 |
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