Innovative Industries Inc. | |
215 N Walnut St Creston IA 50801-2441 | |
(641) 782-8495 | |
(641) 782-6889 |
Full Name | Innovative Industries Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 215 N Walnut St, Creston, Iowa |
Authorized Official Name and Position | Jean M Rommes (PRESIDENT) |
Authorized Official Contact | 6417828495 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Innovative Industries Inc. 215 N Walnut St Creston IA 50801-2441 Ph: (641) 782-8495 | Innovative Industries Inc. 215 N Walnut St Creston IA 50801-2441 Ph: (641) 782-8495 |
NPI Number | 1659427722 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659427722 | NPI | - | NPPES |
0230185 | Medicaid | IA | |
0117192 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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