| Rhd Iowa Act | |
|
2530 University Ave Ste 1 Waterloo IA 50701-3304 | |
| (319) 486-8535 | |
| Not Available |
| Full Name | Rhd Iowa Act |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2530 University Ave Ste 1, Waterloo, Iowa |
| Authorized Official Name and Position | Brian Matthew Rhodes (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2159510300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhd Iowa Act 4700 Wissahickon Ave Ste 126 Philadelphia PA 19144-4248 Ph: (215) 951-0300 | Rhd Iowa Act 2530 University Ave Ste 1 Waterloo IA 50701-3304 Ph: (319) 486-8535 |
| NPI Number | 1952757320 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952757320 | NPI | - | NPPES |
| 1120045 | Medicaid | IA | |
| 0120045 | Medicaid | IA | |
| 2120045 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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