Mainstream Living, Inc. | |
2012 E 13th St Box 1608 Ames IA 50010-5601 | |
(515) 232-8405 | |
(515) 232-8448 |
Full Name | Mainstream Living, Inc. |
---|---|
Speciality | Social Worker |
Location | 2012 E 13th St, Ames, Iowa |
Authorized Official Name and Position | Jon D Zellweger (V.P. OF OPERATIONS) |
Authorized Official Contact | 5152328405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mainstream Living, Inc. 2012 E 13th St Box 1608 Ames IA 50010-5601 Ph: (515) 232-8405 | Mainstream Living, Inc. 2012 E 13th St Box 1608 Ames IA 50010-5601 Ph: (515) 232-8405 |
NPI Number | 1992886881 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 09/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992886881 | NPI | - | NPPES |
0226878 | Medicaid | IA | |
0896613 | Medicaid | IA | |
1226878 | Medicaid | IA | |
0095323 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (Iowa) | Primary |
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