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5445 Avenue O Fort Madison IA 52627-9611 | |
(319) 372-6530 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 5445 Avenue O, Fort Madison, Iowa |
Authorized Official Name and Position | Barb Jean Linder (VP OF COMPLIANCE) |
Authorized Official Contact | 3193762711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 174 Fort Madison IA 52627-0174 Ph: (319) 372-6530 | 5445 Avenue O Fort Madison IA 52627-9611 Ph: (319) 372-6530 |
NPI Number | 1366081358 |
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Provider Enumeration Date | 12/23/2019 |
Last Update Date | 12/23/2019 |
Certification Date | 12/23/2019 |
Identifier | Type | State | Issuer |
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1366081358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
New Beginnings Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 834 Avenue D, Fort Madison, IA 52627 Phone: 319-371-9376 | |