NPIMap

Organization Active NPI

Zion Integrated Behavioral Health Services Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shenandoah, IA
National Provider Identifier
1043581648
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1267 Issued in IA
Legal business name
ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.
Practice address
615 Northwest Rd
Shenandoah, IA 51601-1199
Phone
(712) 246-4832
Fax
(712) 246-4832
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie J Cooley
Title
Director
Phone
(712) 243-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1267 IA Primary

Addresses

Primary practice location

615 Northwest Rd
Shenandoah, IA 51601-1199

Mailing address

601 Walnut St
Suite 1
Atlantic, IA 50022-1571
Phone (712) 243-5091

Other identifiers 1

IdentifierTypeStateIssuer
68236OtherIAWELLMARK - BCBS

National Provider Directory

National Provider Directory
Tax ID family
Zion Integrated Behavioral Health Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

615 Northwest Rd
Shenandoah, IA 51601
Phone (712) 246-4832

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1043581648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "SUITE 1",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221571",
            "telephone_number": "712-243-5091",
            "fax_number": "712-243-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 NORTHWEST RD",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011199",
            "telephone_number": "712-246-4832",
            "fax_number": "712-246-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "712-243-5091"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IA",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK - BCBS",
            "identifier": "68236",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.