| Orhc Specialty Clinic | |
|
115 Cedar Ln, Suite A Sibley IA 51249-1013 | |
| (712) 754-2574 | |
| Not Available |
| Full Name | Orhc Specialty Clinic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 115 Cedar Ln, Suite A, Sibley, Iowa |
| Authorized Official Name and Position | Andrea R Johnson (CFO) |
| Authorized Official Contact | 7127545353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orhc Specialty Clinic Po Box 258 Sibley IA 51249-0258 Ph: (712) 754-2574 | Orhc Specialty Clinic 115 Cedar Ln, Suite A Sibley IA 51249-1013 Ph: (712) 754-2574 |
| NPI Number | 1922746171 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922746171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
Interconnections Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 115 Cedar Ln Ste B, Sibley, IA 51249 Phone: 712-754-2400 Fax: 712-754-4612 |