| North Central Iowa Mental Health Center Inc | |
|
18572 Thunder Rdg Norman OK 73072-8739 | |
| (800) 482-8305 | |
| (515) 573-7898 |
| Full Name | North Central Iowa Mental Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18572 Thunder Rdg, Norman, Oklahoma |
| Authorized Official Name and Position | Aaron Mchone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5155748380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Iowa Mental Health Center Inc 720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (800) 482-8305 | North Central Iowa Mental Health Center Inc 18572 Thunder Rdg Norman OK 73072-8739 Ph: (800) 482-8305 |
| NPI Number | 1962033035 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Medicare PECOS PAC ID | 1153210232 |
|---|---|
| Medicare Enrollment ID | O20200303002029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962033035 | NPI | - | NPPES |
| 0159608 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mary Beth Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245203223 PECOS PAC ID: 2163436486 Enrollment ID: I20200303002224 |
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