North Central Iowa Mental Health Center, Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Algona, IA
NPI 1497136246 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1497136246
- 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
- 109 W State St
Algona, IA 50511-2657 - Phone
- (800) 482-8305
- Fax
- (515) 573-7898
- NPI assigned
- Jun 17, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- TRINITY HEALTH SYSTEMS, INC
Authorized official
- Name
- Aaron McHone
- Title
- Executive Director
- Phone
- (800) 482-8305
Other NPIs on the same Medicare enrollment 27
Practitioners 1
-
Shaheena Minhas, M.D.
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
109 W State St
Algona, IA 50511-2657
Mailing address
720 Kenyon Rd
Fort Dodge, IA 50501-5759
Phone (800) 482-8305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0159608 | Medicaid | IA | |
| 07466 | Other | IA | WELLMARK BC/BS |
Other names
- UnityPoint Health-Berryhill Center
Other providers in Algona, IA
- Ronald J Moeller
- Kenton K Moss
- Steven Allan Mueller
- Melissa Naig-Lentz
- Anne H Nerison
- North Central Iowa Mental Health Center, Inc
- Northwest Iowa Dermatology LLC
- Brent David Owen
- Marc R Peterson
- Allison Marie Rausch
All providers in Algona, 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.