Mental Health Clinic of Tama County Iowa Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Toledo, IA
NPI 1164527248 · NPPES record last updated Jun 26, 2013
Key facts
- NPI
- 1164527248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- MENTAL HEALTH CLINIC OF TAMA COUNTY IOWA INC
- Practice address
- 1309 S Broadway
Toledo, IA 52342 - Phone
- (641) 484-5234
- Fax
- (641) 484-5632
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Erin Gumm, MA
- Title
- Site Director
- Phone
- (641) 484-5234
Practitioners 3
-
Kerri J Husman, MD
-
Michele Meri Walker, LISW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | IA | Yes |
Addresses
Primary practice location
1309 S Broadway
Toledo, IA 52342
Mailing address
PO Box 7
1309 S Broadway
Toledo, IA 52342
Phone (641) 484-5234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031484 | Medicaid | IA | |
| 23307 | Other | IA | WELLMARK BCBS |
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- Sherry L Parks
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All providers in Toledo, 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 Jun 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.