Christian Home Association-Children'S Square U.S.a
Organization Active NPI Community/Behavioral Health Agency · Sioux City, IA
NPI 1306992805 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1306992805
- 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
- 705 Douglas St
Suite 652
Sioux City, IA 51101-1048 - Phone
- (712) 255-9061
- Fax
- (712) 255-3729
- NPI assigned
- Jan 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark J Duman
- Title
- Chief Financial Officer
- Phone
- (712) 322-3700
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Children'S Square USA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
705 Douglas St
Suite 652
Sioux City, IA 51101-1048
Mailing address
PO Box 8C
Council Bluffs, IA 51502-3008
Phone (712) 322-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104026 | Medicaid | IA |
Other names
- CHILDREN'S SQUARE U.S.A.
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All providers in Sioux City, IA · Community/Behavioral Health Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.