- Mental Health Clinic in Logan, IA

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is a mental health clinic (Clinic/center - Adolescent And Children Mental Health) in Logan, Iowa. The current practice location for is 107 No 4th Avenue, #819, Logan, Iowa. For appointments, you can reach them via phone at (712) 644-2946. The mailing address for is 2101 S 42nd St, Omaha, Nebraska and phone number is (402) 553-3000.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1285793349. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (712) 644-2946.

Contact Information

107 No 4th Avenue
#819
Logan
IA 51546
(712) 644-2946
(712) 644-2207

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityClinic/center - Adolescent And Children Mental Health
Location107 No 4th Avenue, Logan, Iowa
Authorized Official Name and PositionPeter Tulipana (PRESIDENT CEO)
Authorized Official Contact4025527402
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2101 S 42nd St
Omaha
NE 68105-2909

Ph: (402) 553-3000
107 No 4th Avenue
#819
Logan
IA 51546

Ph: (712) 644-2946

NPI Details:

NPI Number1285793349
Provider Enumeration Date12/06/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285793349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Primary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Primary

Reviews and Comments

Clinic/Center in Logan, IA

Sanctuary Recovery Ministries
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 202 S 1st Ave, Logan, IA 51546
Phone: 712-545-0877    Fax: 402-509-6076

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.