RESTORATION BEHAVIORAL HEALTH CENTER, INC.


Address: 1235 Sampson Street, Des Moines, IA 50316
Phone: 5153399016

RESTORATION BEHAVIORAL HEALTH CENTER, INC. (NPI# 1124626320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124626320
Entity Type Organization
Organization Name RESTORATION BEHAVIORAL HEALTH CENTER, INC.
Practice Address 1235 Sampson Street
Des Moines
IA 50316
Mailing Address Po Box 836
Des Moines
IA 50304-0836
Practice Telephone 5153399016
Practice Fax Number 5152666029
Mailing Telephone 5153399016
Mailing Fax Number 5152666029
Enumeration Date 2020-10-12
Last Update Date 2020-10-12
Authorized Official Name JACQUELYN JUANITA SEYMOUR (BOARD MEMBER)
Authorized Official Telephone 5153399016
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 1235 SAMPSON STREET
City DES MOINES
State IA
Zip Code 50316

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1184979023 Ashley Marie Mundt Physical Therapist 710 Riverview Street, Des Moines, IA 50316 2012-07-17
1942562020 Angela Maria Runkel Nurse Practitioner 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 2012-06-13
1821390121 Recovercare LLC Durable Medical Equipment & Medical Supplies 2117 Dixon St, Des Moines, IA 50316 2010-11-19
1588838841 Leenu Mishra Psychiatry & Neurology 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 2008-04-17
1477721686 Kristin K Horning Pharmacist 840 East University Avenue, Des Moines, IA 50316 2008-02-11
1770695488 Terrance O Kurtz Internal Medicine 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 2006-08-31
1487281085 Timothy Andrew Flynn Behavioral Analyst 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 2020-03-24
1700370624 Ericka Marie Tank Family Medicine 840 E University Ave, Des Moines, IA 50316 2018-06-15
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1982657490 Eyerly Ball Community Mental Health Services Clinic/Center 1301 Center St, Des Moines, IA 50309-1004 2006-05-18
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1619379724 Melissa Dee Larsen Clinic/Center 5005 Douglas Ave, Suite 101, Des Moines, IA 50310-2760 2014-09-19
1427398338 Mercy Clinics, Inc Clinic/Center 1750 48th St, Suite 2, Des Moines, IA 50310-1988 2013-03-01
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Competitor

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City DES MOINES
Zip Code 50316

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Dataset Information

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.

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