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1801 Hickman Road Des Moines IA 50314 | |
| (515) 282-2200 | |
| (515) 282-3234 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1801 Hickman Road, Des Moines, Iowa |
| Authorized Official Name and Position | Jody J Jenner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5152822234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1801 Hickman Road Des Moines IA 50314 Ph: (515) 282-2200 | 1801 Hickman Road Des Moines IA 50314 Ph: (515) 282-2200 |
| NPI Number | 1922089002 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922089002 | NPI | - | NPPES |
| A5031401 | Other | IA | JOHN DEERE, UHC RIVER VAL |
| 0601013 | Medicaid | IA | |
| 132198 | Other | IA | VALUE OPTIONS |
| 29705 | Other | IA | COVENTRY |
| 10020 | Other | IA | AMERICAN PSYCH SYSTEMS |
| 20023 | Other | IA | TRICARE |
| 6230290 | Other | IA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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