North Central Iowa Mental Health Center, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Clarion, IA
NPI 1104963586 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1104963586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC
- Practice address
- 120 1St Ave NW Ste 2
Clarion, IA 50525-1445 - Phone
- (800) 482-8305
- Fax
- (515) 573-7898
- NPI assigned
- Feb 1, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- TRINITY HEALTH SYSTEMS, INC
Authorized official
- Name
- Aaron D McHone
- Title
- Executive Director
- Phone
- (800) 482-8305
Other NPIs on the same Medicare enrollment 27
Corporate family (same tax ID) 16
Practitioners 6
-
Deb Albrecht, RN
-
James B Burr, LMHC
-
Emma Green, LISW
-
Lori J Ohrt, LISW
-
Kirsten J Olson, LISW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315000923 | IA | Part B Supplier - Clinic/Group Practice | 1153210232 |
Receives reassigned benefits from 24 practitioners 32 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake City, IA; Webster City, IA; Lake View, IA; Manson, IA; Morning Sun, IA; Newell, IA; Pocahontas, IA; Pomeroy, IA… |
National Provider Directory
- Tax ID family
- North Central Iowa Mental Health Center Inc
Locations
120 1st Ave NW
Ste 2
Clarion, IA 50525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | IA | Yes |
Addresses
Primary practice location
120 1St Ave NW Ste 2
Clarion, IA 50525-1445
Mailing address
720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (800) 482-8305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07466 | Other | IA | WELLMARK BCBS |
| 0159608 | Medicaid | IA |
Other names
- UnityPoint Health-Berryhill Center
Other providers in Clarion, IA
- Mosaic
- Mosaic
- Mr Pharmacy LLC
- Katrina Christine Nelson
- Nik M Nikoueiha
- North Iowa Mercy Clinics
- Northland Hearing Centers, Inc.
- Andrew N. Odland
- Mark Palit
- Laura Phillips
All providers in Clarion, IA · Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.