| Mental Health Clinic Of Tama County Iowa Inc | |
|
1309 S Broadway Toledo IA 52342 | |
| (641) 484-5234 | |
| (641) 484-5632 |
| Full Name | Mental Health Clinic Of Tama County Iowa Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1309 S Broadway, Toledo, Iowa |
| Authorized Official Name and Position | Erin Gumm (SITE DIRECTOR) |
| Authorized Official Contact | 6414845234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Clinic Of Tama County Iowa Inc Po Box 7 1309 S Broadway Toledo IA 52342 Ph: (641) 484-5234 | Mental Health Clinic Of Tama County Iowa Inc 1309 S Broadway Toledo IA 52342 Ph: (641) 484-5234 |
| NPI Number | 1164527248 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 06/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164527248 | NPI | - | NPPES |
| 0031484 | Medicaid | IA | |
| 23307 | Other | IA | WELLMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Iowa) | Primary |