NPIMap

Organization Active NPI

Zion Integrated Behavioral Health Services Inc.

Doing business as Safe Harbor

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Woodward, IA
National Provider Identifier
1790480911
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.
Doing business as
Safe Harbor
Practice address
706 Cedar Ave
Woodward, IA 50276-1010
Phone
(712) 243-2606
NPI assigned
Apr 5, 2023
Last updated
Apr 5, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Cooley
Title
Director
Phone
(712) 243-5091

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

706 Cedar Ave
Woodward, IA 50276-1010

Mailing address

PO Box 34
Atlantic, IA 50022-0034
Phone (712) 243-2606

Other names 1

  • Safe Harbor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Zion Integrated Behavioral Health Services Inc12 organizations share this tax ID, including this one
Part of
Zion Integrated Behavioral Health Services Inc

Other organizations with this tax ID 11

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

Locations

706 Cedar Ave
Woodward, IA 50276
Phone (515) 642-4125

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1790480911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500220034",
            "telephone_number": "712-243-2606",
            "fax_number": "712-243-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CEDAR AVE",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502761010",
            "telephone_number": "712-243-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZION INTEGRATED BEHAVIORAL HEALTH SERVICES INC.",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "712-243-5091"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Harbor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodward, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.