| Oakridge | |
|
2007 Ravens Ct Sioux City IA 51104-1762 | |
| (712) 277-8295 | |
| (712) 277-8602 |
| Full Name | Oakridge |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2007 Ravens Ct, Sioux City, Iowa |
| Authorized Official Name and Position | Trey E Weaver (FINANCE DIRECTOR) |
| Authorized Official Contact | 7122778295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakridge 3439 Glen Oaks Blvd Sioux City IA 51104-1761 Ph: (712) 277-8295 | Oakridge 2007 Ravens Ct Sioux City IA 51104-1762 Ph: (712) 277-8295 |
| NPI Number | 1679614259 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679614259 | NPI | - | NPPES |
| 0881417 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 0881417 (Iowa) | Secondary |
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