| International Mission Center Church, Inc. | |
|
807 E Hanson St Cleveland TX 77327-4622 | |
| (281) 592-9222 | |
| (281) 592-5041 |
| Full Name | International Mission Center Church, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 807 E Hanson St, Cleveland, Texas |
| Authorized Official Name and Position | Arthur N Ojionuka (CEO) |
| Authorized Official Contact | 2815929222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| International Mission Center Church, Inc. 807 E Hanson St Cleveland TX 77327-4622 Ph: (281) 592-9222 | International Mission Center Church, Inc. 807 E Hanson St Cleveland TX 77327-4622 Ph: (281) 592-9222 |
| NPI Number | 1487738613 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Medicare PECOS PAC ID | 1951651694 |
|---|---|
| Medicare Enrollment ID | O20180830001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487738613 | NPI | - | NPPES |
| Provider Name | Arthur N Ojionuka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376181404 PECOS PAC ID: 3476804154 Enrollment ID: I20200730002741 |
| Provider Name | Martin Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821743865 PECOS PAC ID: 7214316355 Enrollment ID: I20220621002612 |
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