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Handicap Village

Organization Active NPI Community/Behavioral Health Agency · Clear Lake, IA

NPI 1730201419 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1730201419
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
HANDICAP VILLAGE
Practice address
1200 N 9TH St W
Clear Lake, IA 50428-1100
Phone
(641) 357-5277
Fax
(641) 357-6491
NPI assigned
Apr 4, 2007
Organization subpart
No

Authorized official

Name
Mr. Gregory J Braun
Title
Cfo
Phone
(641) 355-1200

Corporate family (same tax ID) 23

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

National Provider Directory

Tax ID family
Handicap Village (24 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

1200 N 9TH St W
Clear Lake, IA 50428-1100

Mailing address

PO Box 622
Clear Lake, IA 50428-0622
Phone (641) 357-5277

Other identifiers

IdentifierTypeStateIssuer
0746982MedicaidIA

Other names

  • Opportunity Village Doing business as

Other providers in Clear Lake, IA

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

Sources for this page

Verify at the official NPI Registry.