Story County Community Life Program | |
104 S Hazel Ave Ames IA 50010-5952 | |
(515) 956-2600 | |
(515) 956-2609 |
Full Name | Story County Community Life Program |
---|---|
Speciality | Community/behavioral Health |
Location | 104 S Hazel Ave, Ames, Iowa |
Authorized Official Name and Position | Gayla R Harken (DIRECTOR) |
Authorized Official Contact | 5159562602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Story County Community Life Program 104 S Hazel Ave Ames IA 50010-5952 Ph: (515) 956-2600 | Story County Community Life Program 104 S Hazel Ave Ames IA 50010-5952 Ph: (515) 956-2600 |
NPI Number | 1902024755 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902024755 | NPI | - | NPPES |
0745851 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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