NPIMap

Organization Active NPI

Northwest Iowa Mental Health Center

Doing business as Oak Haven

  • Mental Illness Community Based Residential Treatment Facility
  • Okoboji, IA
National Provider Identifier
1184779852
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NORTHWEST IOWA MENTAL HEALTH CENTER
Doing business as
Oak Haven
Practice address
2273 170TH St
Okoboji, IA 51355-2529
Phone
(712) 332-2932
Fax
(712) 332-2783
NPI assigned
Jan 24, 2007
Last updated
Feb 18, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST IOWA MENTAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Dan Ries
Title
Director of Finance
Phone
(712) 262-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

2273 170TH St
Okoboji, IA 51355-2529

Mailing address

2273 170TH St
Okoboji, IA 51355-2529
Phone (712) 332-2932

Other identifiers 1

IdentifierTypeStateIssuer
1228221MedicaidIA

Other names 1

  • Oak Haven Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seasons Center for Mental Health10 organizations share this tax ID, including this one
Part of
Seasons Center for Mental Health

Other organizations with this tax ID 9

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

Locations

22703 Nature Center Rd
Okoboji, IA 51355
Phone (712) 332-2134

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1184779852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 170TH ST",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "513552529",
            "telephone_number": "712-332-2932",
            "fax_number": "712-332-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 170TH ST",
            "city": "OKOBOJI",
            "state": "IA",
            "postal_code": "513552529",
            "telephone_number": "712-332-2932",
            "fax_number": "712-332-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IOWA MENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST IOWA MENTAL HEALTH CENTER",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "712-262-2922"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1228221",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okoboji, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.