CENTER FOR BEHAVIORAL HEALTH IOWA, INC. (NPI# 1942613955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942613955 |
| Entity Type | Organization |
| Organization Name | CENTER FOR BEHAVIORAL HEALTH IOWA, INC. |
| Practice Address |
3811 N Harrison St Davenport IA 52806-5911 |
| Mailing Address |
Po Box 897 Boise ID 83701-0897 |
| Practice Telephone | 2083679446 |
| Mailing Telephone | 2083679021 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | BRANT MASSMAN (PRESIDENT) |
| Authorized Official Telephone | 2083679446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952542557 | Center for Behavioral Health Iowa, Inc. | Family Medicine | 1200 University Ave Ste 106, Des Moines, IA 50314-2330 | 2009-03-12 |
| 1346781507 | Center for Behavioral Health Iowa, Inc. | Family Medicine | 2520 Glenn Ave, Sioux City, IA 51106-2768 | 2017-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CENTER FOR BEHAVIORAL HEALTH IOWA, INC. | 1200 University Suite 106, Des Moines, IA 50314 |
| Street Address |
3811 N HARRISON ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236942 | Center for Alchol & Drug Services, Inc. | Clinic/Center | 1523 S Fairmount St, Davenport, IA 52802 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1316420623 | Cedar Valley Recovery Services Inc | Clinic/Center | 799 Main St Ste 370, Dubuque, IA 52001-6872 | 2018-09-12 |
| 1700390101 | Covert Action LLC | Clinic/Center | 1223 Center St Ste 22, Des Moines, IA 50309-1016 | 2017-11-21 |
| 1932506359 | Cedar Valley Recovery Services Inc | Clinic/Center | 151 Marion Blvd, Marion, IA 52302-3135 | 2014-12-01 |
| 1487870044 | Cedar Valley Recovery Services | Clinic/Center | 2603 Rainbow Dr, Cedar Falls, IA 50613-4743 | 2007-04-18 |
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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.