NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC (NPI# 1104963586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104963586 |
Entity Type | Organization |
Organization Name | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC |
Other Organization Name | UNITYPOINT HEALTH-BERRYHILL CENTER |
Practice Address |
120 1st Ave Nw Ste 2 Clarion IA 50525-1445 |
Mailing Address |
720 Kenyon Rd Fort Dodge IA 50501-5759 |
Practice Telephone | 8004828305 |
Practice Fax Number | 5155737898 |
Mailing Telephone | 8004828305 |
Mailing Fax Number | 5155737898 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2018-11-30 |
Authorized Official Name | AARON D MCHONE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8004828305 |
Is Organization Subpart | Y |
Parent Organization Name | TRINITY HEALTH SYSTEMS, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | WELLMARK BCBS | 07466 | 01 |
IA | 0159608 | 05 |
Other Name | Type Code |
---|---|
Berryhill Center for Mental Health | Doing Business As Name - Organization |
UnityPoint Health-Berryhill Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902163298 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1050 15th St N, Humboldt, IA 50548-1076 | 2012-04-12 |
1811187917 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2007-07-26 |
1588701957 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 500 Fair Meadow Dr, Webster City, IA 50595-3209 | 2007-02-01 |
1871030536 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2017-01-19 |
1497136246 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 109 W State St, Algona, IA 50511-2657 | 2015-06-17 |
1871910588 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2014-03-20 |
1588926448 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1890 E Main St, Lake City, IA 51449-7706 | 2012-06-15 |
1588933089 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2011-12-29 |
1639455074 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 728 14th Ave N, Fort Dodge, IA 50501-7016 | 2011-10-31 |
1619253051 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2011-10-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INCORPORATED | 720 Kenyon Road, Fort Dodge, IA 50501 |
Street Address |
120 1ST AVE NW STE 2 |
City | CLARION |
State | IA |
Zip Code | 50525-1445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609176668 | Regina J Reedy | Nurse Practitioner | 215 13th Ave. Sw, Clarion, IA 50525 | 2010-10-25 |
1760464200 | Jeffrey J Kalvig | Nurse Anesthetist, Certified Registered | 1316 S Main, Clarion, IA 50525 | 2005-11-18 |
1154305258 | Shelley Marie Wells | Anesthesiology | 1316 South Main Street, Clarion, IA 50525 | 2005-12-01 |
1285600312 | Developmental Resourcs, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 2nd St Nw, Clarion, IA 50525-1005 | 2006-02-28 |
1033257639 | John Edward Koenig | Contractor | 609 N Main St, Clarion, IA 50525-1137 | 2007-02-03 |
1003031345 | Kristi Diane Zwiefel | Dietitian, Registered | 720 3rd St Ne, Clarion, IA 50525-1144 | 2007-04-13 |
1679789267 | Rebecca Sue Ahrendsen | Registered Nurse | 728 Maple Ln, Clarion, IA 50525-1241 | 2007-05-14 |
1477685345 | Clarion-goldfield Community School District | Local Education Agency (LEA) | 1111 Willow Dr, Clarion, IA 50525-1246 | 2007-03-09 |
1982681508 | County of Wright | Home Health | 115 1st St Se, Clarion, IA 50525-1401 | 2005-12-23 |
1093108201 | Wright County | Preventive Medicine | 115 1st St Se, Clarion, IA 50525-1401 | 2015-03-12 |
Find all providers in zip 50525 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1992995104 | Clarion Co Mh Mr Drug Alcohol | Clinic/Center | 214 S 7th Ave, Clarion, PA 16214-2053 | 2007-07-25 |
1841490208 | Clarion County Mh Mr Drug Alcohol | Clinic/Center | 214 S 7th Ave, Clarion, PA 16214-2053 | 2007-07-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.