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Christian Home Association-Children'S Square U.S.a.

Organization Active NPI Community/Behavioral Health Agency · Council Bluffs, IA

NPI 1215067848 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1215067848
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
CHRISTIAN HOME ASSOCIATION-CHILDREN'S SQUARE U.S.A.
Practice address
North 6TH & Ave E
Council Bluffs, IA 51502-3008
Phone
(712) 322-3700
Fax
(712) 323-6968
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Mark J Duman
Title
Chief Financial Officer
Phone
(712) 322-3700

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
Children'S Square USA (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

North 6TH & Ave E
Council Bluffs, IA 51502-3008

Mailing address

P.O. Box 8-C
Council Bluffs, IA 51502-3008
Phone (712) 322-3700

Other identifiers

IdentifierTypeStateIssuer
0470971MedicaidIA

Other names

  • CHILDREN'S SQUARE U.S.A. Doing business as

Other providers in Council Bluffs, IA

All providers in Council Bluffs, IA · Community/Behavioral Health Agency in Iowa

Sources for this page

Verify at the official NPI Registry.