| Heartland Family Service | |
|
515 E Broadway Council Bluffs IA 51503-4419 | |
| (712) 322-1407 | |
| Not Available |
| Full Name | Heartland Family Service |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 515 E Broadway, Council Bluffs, Iowa |
| Authorized Official Name and Position | Diana Roberts (CREDENTIALING) |
| Authorized Official Contact | 4025527459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Family Service 2101 S 42nd St Omaha NE 68105-2909 Ph: (402) 552-7459 | Heartland Family Service 515 E Broadway Council Bluffs IA 51503-4419 Ph: (712) 322-1407 |
| NPI Number | 1972343184 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972343184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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