| Holistic Health | |
|
1500 W 3rd St Manning IA 51455-1810 | |
| (563) 370-7995 | |
| (563) 888-1350 |
| Full Name | Holistic Health |
|---|---|
| Speciality | Social Worker |
| Location | 1500 W 3rd St, Manning, Iowa |
| Authorized Official Name and Position | Robin Butler (CREDENTIALLING SPECIALIST) |
| Authorized Official Contact | 5633707995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Health 1500 W 3rd St Manning IA 51455-1810 Ph: (833) 311-1661 | Holistic Health 1500 W 3rd St Manning IA 51455-1810 Ph: (563) 370-7995 |
| NPI Number | 1295201754 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 8123453651 |
|---|---|
| Medicare Enrollment ID | O20200110000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295201754 | NPI | - | NPPES |
| 1760492292 | Other | IA | ALL OTHER INSURANCE COMPANIES |
| 1558927061 | Medicaid | IA | |
| 1760492292 | Medicaid | IA | |
| 1558927061 | Other | IA | ALL OTHER INSURANCE COMPANIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Penny K Kain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760492292 PECOS PAC ID: 0345316451 Enrollment ID: I20170829000487 |
| Provider Name | Elizabeth A Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346772761 PECOS PAC ID: 0244665776 Enrollment ID: I20200110001249 |
Manning Regional Healthcare Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1550 6th St, Manning, IA 51455 Phone: 712-655-2072 Fax: 712-655-3330 |