| The Larrabee Center, In.c | |
|
117 11th St Nw Waverly IA 50677-2212 | |
| (319) 352-2234 | |
| Not Available |
| Full Name | The Larrabee Center, In.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 11th St Nw, Waverly, Iowa |
| Authorized Official Name and Position | Clark Wilharm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3193522234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Larrabee Center, In.c 117 11th St Nw Waverly IA 50677-2212 Ph: (319) 352-2234 | The Larrabee Center, In.c 117 11th St Nw Waverly IA 50677-2212 Ph: (319) 352-2234 |
| NPI Number | 1205990223 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205990223 | NPI | - | NPPES |
| 0163428 | Medicaid | IA | |
| 0225987 | Medicaid | IA | |
| 1225987 | Medicaid | IA | |
| 0746859 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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