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1110 Morningview Dr Harlan IA 51537-2013 | |
(712) 755-5056 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1110 Morningview Dr, Harlan, Iowa |
Authorized Official Name and Position | Barry A Jacobsen (CEO) |
Authorized Official Contact | 7127554315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1213 Garfield Ave Harlan IA 51537-2057 Ph: () - | 1110 Morningview Dr Harlan IA 51537-2013 Ph: (712) 755-5056 |
NPI Number | 1831717552 |
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Provider Enumeration Date | 07/09/2020 |
Last Update Date | 07/26/2024 |
Certification Date | 07/26/2024 |
Medicare PECOS PAC ID | 5193619393 |
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Medicare Enrollment ID | O20231127001949 |
Identifier | Type | State | Issuer |
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1831717552 | NPI | - | NPPES |
Provider Name | Erica Larson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316207046 PECOS PAC ID: 3870865769 Enrollment ID: I20170828003212 |
Heartland Family Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Market St, Harlan, IA 51537 Phone: 402-553-3000 | |