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505 E Lake St Rockwell City IA 50579-1711 | |
(712) 297-8989 | |
(712) 297-8991 |
Full Name | |
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Speciality | Clinic/Center |
Location | 505 E Lake St, Rockwell City, Iowa |
Authorized Official Name and Position | James L Henkenius (CFO) |
Authorized Official Contact | 7124644200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1301 W Main St Lake City IA 51449-1585 Ph: (712) 464-3171 | 505 E Lake St Rockwell City IA 50579-1711 Ph: (712) 297-8989 |
NPI Number | 1316240104 |
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Provider Enumeration Date | 12/16/2010 |
Last Update Date | 03/05/2024 |
Certification Date | 03/05/2024 |
Medicare PECOS PAC ID | 4486563707 |
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Medicare Enrollment ID | O20110301000456 |
Identifier | Type | State | Issuer |
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1316240104 | NPI | - | NPPES |
North Central Iowa Mental Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Warner St, Rockwell City, IA 50579 Phone: 800-482-8305 Fax: 515-573-7898 |