| Southwest Iowa Mental Health Center | |
|
2307 Olive St Atlantic IA 50022-9768 | |
| (712) 243-2606 | |
| (712) 243-2688 |
| Full Name | Southwest Iowa Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2307 Olive St, Atlantic, Iowa |
| Authorized Official Name and Position | Laurie Cooley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7122432606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Iowa Mental Health Center Po Box 34 Atlantic IA 50022-0034 Ph: (712) 243-2606 | Southwest Iowa Mental Health Center 2307 Olive St Atlantic IA 50022-9768 Ph: (712) 243-2606 |
| NPI Number | 1033181086 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 12/20/2022 |
| Certification Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033181086 | NPI | - | NPPES |
| D0893 | Other | IA | BCBS OF IA |
| 0008938 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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