| Meadowlark Psychiatric Services | |
|
320 W. Cherry St North Liberty IA 52317 | |
| (319) 626-3300 | |
| (319) 626-3084 |
| Full Name | Meadowlark Psychiatric Services |
|---|---|
| Speciality | Social Worker |
| Location | 320 W. Cherry St, North Liberty, Iowa |
| Authorized Official Name and Position | Christopher Okiiski (M.D.) |
| Authorized Official Contact | 3196263300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadowlark Psychiatric Services 320 W. Cherry St North Liberty IA 52317 Ph: (319) 626-3300 | Meadowlark Psychiatric Services 320 W. Cherry St North Liberty IA 52317 Ph: (319) 626-3300 |
| NPI Number | 1023141330 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/15/2019 |
| Medicare PECOS PAC ID | 6800991597 |
|---|---|
| Medicare Enrollment ID | O20070425000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023141330 | NPI | - | NPPES |
| 28084 | Other | IA | BC PROVIDER NUMBER |
| Provider Name | Martin W Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558359174 PECOS PAC ID: 5890774509 Enrollment ID: I20040716000213 |
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