| Sandy Mae Gannon Company Plc | |
|
103 S Main St North English IA 52316-9504 | |
| (319) 664-3333 | |
| Not Available |
| Full Name | Sandy Mae Gannon Company Plc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 103 S Main St, North English, Iowa |
| Authorized Official Name and Position | Sandra Mae Gannon (PRESIDENT) |
| Authorized Official Contact | 3196215416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Mae Gannon Company Plc 3217 Raven St Iowa City IA 52245-5129 Ph: (319) 621-5416 | Sandy Mae Gannon Company Plc 103 S Main St North English IA 52316-9504 Ph: (319) 664-3333 |
| NPI Number | 1558816413 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558816413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 00590 (Iowa) | Primary |
Village Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 S Main St, North English, IA 52316 Phone: 319-400-5023 Fax: 844-448-5484 |