| Family Wellness Associates, Inc. | |
|
1115 5th St Sioux City IA 51101-1905 | |
| (712) 294-4230 | |
| (712) 276-6040 |
| Full Name | Family Wellness Associates, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1115 5th St, Sioux City, Iowa |
| Authorized Official Name and Position | Robin Capers (OWNER) |
| Authorized Official Contact | 7122944230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Associates, Inc. 1115 5th St Sioux City IA 51101-1905 Ph: (712) 294-4230 | Family Wellness Associates, Inc. 1115 5th St Sioux City IA 51101-1905 Ph: (712) 294-4230 |
| NPI Number | 1518337054 |
|---|---|
| Provider Enumeration Date | 09/27/2015 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 8325468572 |
|---|---|
| Medicare Enrollment ID | O20201009000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518337054 | NPI | - | NPPES |
| 1013490 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 006993 (Iowa) | Primary |
| Provider Name | Robin Maurice Capers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134362007 PECOS PAC ID: 5698195840 Enrollment ID: I20201009000855 |
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