| Innovative Psychiatric Care Pc | |
|
3900 Ingersoll Ave Suite 108 Des Moines IA 50312-3534 | |
| (515) 279-6200 | |
| (515) 279-4528 |
| Full Name | Innovative Psychiatric Care Pc |
|---|---|
| Speciality | Specialist |
| Location | 3900 Ingersoll Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Loren A Olson (OWNER) |
| Authorized Official Contact | 5152796200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychiatric Care Pc 3900 Ingersoll Ave Suite 108 Des Moines IA 50312-3534 Ph: (515) 279-6200 | Innovative Psychiatric Care Pc 3900 Ingersoll Ave Suite 108 Des Moines IA 50312-3534 Ph: (515) 279-6200 |
| NPI Number | 1306949896 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306949896 | NPI | - | NPPES |
| 0249649 | Medicaid | IA |
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