Wellsource | |
235 S Eisenhower Avenue Mason City IA 50401 | |
(641) 424-2075 | |
(641) 424-9555 |
Full Name | Wellsource |
---|---|
Speciality | Psychologist |
Location | 235 S Eisenhower Avenue, Mason City, Iowa |
Authorized Official Name and Position | Andrew M Eastwood (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6414242075 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellsource 235 S Eisenhower Avenue Mason City IA 50401 Ph: (641) 424-2075 | Wellsource 235 S Eisenhower Avenue Mason City IA 50401 Ph: (641) 424-2075 |
NPI Number | 1992818249 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 01/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992818249 | NPI | - | NPPES |
00065243 | Medicaid | IA |
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