| White Iron Behavioral Health Services, Plc | |
|
21 E Chapman St Ely MN 55731-1227 | |
| (218) 235-1108 | |
| Not Available |
| Full Name | White Iron Behavioral Health Services, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 E Chapman St, Ely, Minnesota |
| Authorized Official Name and Position | Kathleen Kern Udovich (OWNER) |
| Authorized Official Contact | 2182351108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Iron Behavioral Health Services, Plc 507 E Harvey St Ely MN 55731-1445 Ph: (218) 235-1108 | White Iron Behavioral Health Services, Plc 21 E Chapman St Ely MN 55731-1227 Ph: (218) 235-1108 |
| NPI Number | 1619665379 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 2163870965 |
|---|---|
| Medicare Enrollment ID | O20231204001947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619665379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kathleen K Udovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386398139 PECOS PAC ID: 0244626067 Enrollment ID: I20220404002870 |
Alliance Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Chippewa Shrs, Ely, MN 55731 Phone: 612-242-9455 | |
Mosaicself Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10 N 1st Ave E Ste 202, Ely, MN 55731 Phone: 218-216-8467 |