| Iowa Central Industries | |
|
127 Avenue M Fort Dodge IA 50501-5741 | |
| (515) 576-2126 | |
| (515) 576-2251 |
| Full Name | Iowa Central Industries |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 127 Avenue M, Fort Dodge, Iowa |
| Authorized Official Name and Position | Tom Eckman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5155762126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Central Industries 127 Avenue M Fort Dodge IA 50501-5741 Ph: (515) 576-2126 | Iowa Central Industries 127 Avenue M Fort Dodge IA 50501-5741 Ph: (515) 576-2126 |
| NPI Number | 1720157902 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720157902 | NPI | - | NPPES |
| 0442053 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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