| Inner Health Services. Inc | |
|
4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 | |
| (515) 201-9953 | |
| (515) 251-4876 |
| Full Name | Inner Health Services. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4685 Merle Hay Rd Ste 108, Des Moines, Iowa |
| Authorized Official Name and Position | Patricia Petersen (OWNER) |
| Authorized Official Contact | 5152019953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Health Services. Inc 4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 Ph: (515) 201-9953 | Inner Health Services. Inc 4685 Merle Hay Rd Ste 108 Des Moines IA 50322-1982 Ph: (515) 201-9953 |
| NPI Number | 1104397223 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 1355687260 |
|---|---|
| Medicare Enrollment ID | O20190115000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104397223 | NPI | - | NPPES |
| 1356343834 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Patricia J Petersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356343834 PECOS PAC ID: 9830435569 Enrollment ID: I20190116002992 |
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