| North Iowa Transition Center | |
|
408 1st St Nw Mason City IA 50401-3004 | |
| (641) 424-8708 | |
| (641) 421-7809 |
| Full Name | North Iowa Transition Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 408 1st St Nw, Mason City, Iowa |
| Authorized Official Name and Position | Connie Bleile (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6414248708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Iowa Transition Center Po Box 1503 Mason City IA 50402-1503 Ph: (641) 424-8708 | North Iowa Transition Center 408 1st St Nw Mason City IA 50401-3004 Ph: (641) 424-8708 |
| NPI Number | 1578634143 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578634143 | NPI | - | NPPES |
| 1229377 | Medicaid | IA | |
| 0229377 | Medicaid | IA | |
| 1737874 | Medicaid | IA | |
| 0739417 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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