Prairie Ridge Integrated Behavioral Healthcare | |
320 N Eisenhower Ave Mason City IA 50401-1521 | |
(641) 424-2391 | |
(641) 424-0783 |
Full Name | Prairie Ridge Integrated Behavioral Healthcare |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 320 N Eisenhower Ave, Mason City, Iowa |
Authorized Official Name and Position | Kim Marie Miller (BILLING SUPERVISOR) |
Authorized Official Contact | 6414242391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairie Ridge Integrated Behavioral Healthcare 320 N Eisenhower Ave Mason City IA 50401-1521 Ph: (641) 424-2391 | Prairie Ridge Integrated Behavioral Healthcare 320 N Eisenhower Ave Mason City IA 50401-1521 Ph: (641) 424-2391 |
NPI Number | 1801637061 |
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Provider Enumeration Date | 06/03/2024 |
Last Update Date | 06/03/2024 |
Certification Date | 05/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801637061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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