Aspire Behavioral Health Services LLC

Organization Active NPI Community/Behavioral Health Agency · Corning, IA

NPI 1669952040 · NPPES record last updated Aug 15, 2018

Key facts

NPI
1669952040
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ASPIRE BEHAVIORAL HEALTH SERVICES LLC
Practice address
816 Davis Ave
Corning, IA 50841-1420
Phone
(641) 202-0989
NPI assigned
Aug 15, 2018
Organization subpart
No

Authorized official

Name
Kyle Dasher, LISW
Title
Owner
Phone
(641) 202-0989

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180924000091 IA Part B Supplier - Clinic/Group Practice 9133477946 Receives reassigned benefits from 1 practitioner
Practice locations: Corning, IA

National Provider Directory

Locations

816 Davis Ave
Corning, IA 50841
Phone (641) 202-0989

Specialties & licenses

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

Addresses

Primary practice location

816 Davis Ave
Corning, IA 50841-1420

Mailing address

816 Davis Ave
Corning, IA 50841-1420
Phone (641) 202-0989

Other providers in Corning, IA

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

Sources for this page

Verify at the official NPI Registry.