| Uhs Midwest Behavioral Health Llc | |
|
1450 Nw 114th St Clive IA 50325 | |
| (844) 680-0504 | |
| Not Available |
| Full Name | Uhs Midwest Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1450 Nw 114th St, Clive, Iowa |
| Authorized Official Name and Position | Steve Filton (VICE PRESIDENT) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uhs Midwest Behavioral Health Llc 1450 Nw 114th St Clive IA 50325 Ph: (844) 680-0504 | Uhs Midwest Behavioral Health Llc 1450 Nw 114th St Clive IA 50325 Ph: (844) 680-0504 |
| NPI Number | 1871174615 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 03/23/2021 |
| Medicare PECOS PAC ID | 4385054964 |
|---|---|
| Medicare Enrollment ID | O20210430000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871174615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Eric R Barlow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548250772 PECOS PAC ID: 4587651021 Enrollment ID: I20040427001585 |
| Provider Name | Sasha Farsuid Khosravi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003878307 PECOS PAC ID: 6204893498 Enrollment ID: I20091006000493 |
| Provider Name | Jon J Vanderveer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649408808 PECOS PAC ID: 5991969800 Enrollment ID: I20120605000519 |
| Provider Name | Rene M Duregger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245436765 PECOS PAC ID: 8123279957 Enrollment ID: I20121103000114 |
| Provider Name | Ahmar Mannan Butt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275871485 PECOS PAC ID: 7911135348 Enrollment ID: I20150604002388 |
| Provider Name | Holly E Labertew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023517125 PECOS PAC ID: 6103180625 Enrollment ID: I20180510000261 |
| Provider Name | Jennifer R Stromgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013525054 PECOS PAC ID: 0941614358 Enrollment ID: I20210126002660 |
| Provider Name | Andrew R Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881267706 PECOS PAC ID: 4385036888 Enrollment ID: I20220112002753 |
| Provider Name | Anthony Nepusz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699333112 PECOS PAC ID: 8921331604 Enrollment ID: I20230119002393 |
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