NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC (NPI# 1588926448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588926448 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC |
| Other Organization Name | BERRYHILL CENTER FOR MENTAL HEALTH |
| Practice Address |
1890 E Main St Lake City IA 51449-7706 |
| Mailing Address |
720 Kenyon Rd Fort Dodge IA 50501-5759 |
| Practice Telephone | 7124648961 |
| Practice Fax Number | 7124643326 |
| Mailing Telephone | 8004828305 |
| Mailing Fax Number | 5155737898 |
| Enumeration Date | 2012-06-15 |
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BC/BS | 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 |
| 1104963586 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 120 1st Ave Nw Ste 2, Clarion, IA 50525-1445 | 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 |
| 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 |
1890 E MAIN ST |
| City | LAKE CITY |
| State | IA |
| Zip Code | 51449-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508933078 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-11-29 |
| 1497881221 | Opportunity Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1890 E Main St, Lake City, IA 51449-7706 | 2007-02-26 |
| 1164590642 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-12-01 |
| 1740358589 | Opportunity Living | Intermediate Care Facility, Mentally Retarded | 1890 E Main St, Lake City, IA 51449-7706 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184719767 | Harris Drug, Inc. | Pharmacy | 121 East Main St., Lake City, IA 51449 | 2006-10-03 |
| 1427168749 | David Joseph Verbik | Dentist | 1331 West Main Street, Lake City, IA 51449 | 2006-08-30 |
| 1760921951 | Jeremie Lee Kent | Driver | 1115 W Main St, Lake City, IA 51449 | 2017-02-21 |
| 1811025984 | Cynthia Joan Grear | Pharmacist | 121 W. Main Street, Lake City, IA 51449 | 2007-03-01 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1770634677 | Craig Steven Rock | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-16 |
| 1285784280 | Jonathan Paul Judisch | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-11 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1932357944 | Southern Cal Community School District | Local Education Agency (LEA) | 709 W Main St, Lake City, IA 51449-1500 | 2008-09-03 |
| 1255601811 | Cesar A. Cardenas | Surgery | 1400 W Main St, Lake City, IA 51449-1577 | 2012-01-12 |
| Find all providers in zip 51449 | ||||
| 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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| 1043636046 | Pee Dee Mental Health | Clinic/Center | 675 N Matthews Rd, Lake City, SC 29560-7027 | 2014-03-14 |
| 1427396845 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1301 W Main St, Lake City, IA 51449-1585 | 2013-01-18 |
| 1689846859 | Meridian Behavioral Healthcare, Inc of Lake City | Clinic/Center | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2008-03-28 |
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| 1053945576 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2633 Anchorage Rd Ne, Solon, IA 52333-9556 | 2020-02-24 |
| 1811533649 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 300, Osceola, IA 50213-1249 | 2019-11-27 |
| 1568007805 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 200, Osceola, IA 50213-1249 | 2019-11-11 |
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| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
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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.