| Behavioral Health Centers Of So Ia - Centerville | |
|
221 E State St Centerville IA 52544-1813 | |
| (641) 856-6471 | |
| (641) 856-2603 |
| Full Name | Behavioral Health Centers Of So Ia - Centerville |
|---|---|
| Speciality | Clinic/Center |
| Location | 221 E State St, Centerville, Iowa |
| Authorized Official Name and Position | Samantha Cannon (CEO) |
| Authorized Official Contact | 6414462383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Centers Of So Ia - Centerville 302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 | Behavioral Health Centers Of So Ia - Centerville 221 E State St Centerville IA 52544-1813 Ph: (641) 856-6471 |
| NPI Number | 1710102132 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5597717496 |
|---|---|
| Medicare Enrollment ID | O20061204000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710102132 | NPI | - | NPPES |
| 507402808 | Medicaid | MO | |
| 0763805 | Medicaid | IA | |
| 39014 | Other | WELLMARK BLUE CROSS/BLUE SHIELD |
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