| North Central Iowa Mental Health Center Inc | |
|
720 Kenyon Rd Fort Dodge IA 50501-5787 | |
| (515) 955-7171 | |
| (515) 573-7898 |
| Full Name | North Central Iowa Mental Health Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 720 Kenyon Rd, Fort Dodge, Iowa |
| Authorized Official Name and Position | Jennifer Ann Pullen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5154086219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Iowa Mental Health Center Inc 720 Kenyon Rd Fort Dodge IA 50501-5787 Ph: (515) 955-7171 | North Central Iowa Mental Health Center Inc 720 Kenyon Rd Fort Dodge IA 50501-5787 Ph: (515) 955-7171 |
| NPI Number | 1801635404 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801635404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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