| Behavioral Health Centers Of So Ia - Chariton | |
|
1711 Osceola Ave Ste 1200 Chariton IA 50049-1516 | |
| (641) 774-8484 | |
| (641) 774-8485 |
| Full Name | Behavioral Health Centers Of So Ia - Chariton |
|---|---|
| Speciality | Clinic/Center |
| Location | 1711 Osceola Ave Ste 1200, Chariton, 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 - Chariton 302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 | Behavioral Health Centers Of So Ia - Chariton 1711 Osceola Ave Ste 1200 Chariton IA 50049-1516 Ph: (641) 774-8484 |
| NPI Number | 1568672939 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5597717496 |
|---|---|
| Medicare Enrollment ID | O20070126000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568672939 | NPI | - | NPPES |
| 500827308 | Medicaid | MO | |
| 39014 | Other | WELLMARK BLUE CROSS/BLUE SHIELD | |
| 0785352 | Medicaid | IA |
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