| Optimae Lifeservices, Inc, | |
|
301 W Burlington Ave Fairfield IA 52556-3242 | |
| (641) 472-5771 | |
| (641) 472-1817 |
| Full Name | Optimae Lifeservices, Inc, |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 W Burlington Ave, Fairfield, Iowa |
| Authorized Official Name and Position | Nancy Lynn Mcstockard (DIRECTOR OF BILLING) |
| Authorized Official Contact | 6414721684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimae Lifeservices, Inc, 301 W Burlington Ave Fairfield IA 52556-3242 Ph: (641) 472-1684 | Optimae Lifeservices, Inc, 301 W Burlington Ave Fairfield IA 52556-3242 Ph: (641) 472-5771 |
| NPI Number | 1174520084 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174520084 | NPI | - | NPPES |
| 0272021 | Medicaid | IA | |
| 58181 | Other | IA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 03816 (Iowa) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Optimae Lifeservices Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Burlington Ave, Fairfield, IA 52556 Phone: 641-472-1684 Fax: 641-472-4609 | |
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Optiame Lifeservices Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Burlington Ave, Fairfield, IA 52556 Phone: 641-472-1684 Fax: 641-472-4609 | |
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Rescare, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Burlington Ave, Fairfield, IA 52556 Phone: 641-472-1684 Fax: 641-472-4609 |