NPIMap

Organization Active NPI

Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
National Provider Identifier
1831244516
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHWEST IOWA MENTAL HEALTH CENTER
Practice address
201 E 11TH St
Spencer, IA 51301-4436
Phone
(712) 262-2922
Fax
(712) 262-3826
NPI assigned
Jan 24, 2007
Organization subpart
Yes
Parent organization
NORTHWEST IOWA MENTAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Dan Ries
Title
Director of Finance
Phone
(712) 262-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

201 E 11TH St
Spencer, IA 51301-4436

Mailing address

201 E 11TH St
Spencer, IA 51301-4436
Phone (712) 262-2922

Other identifiers 1

IdentifierTypeStateIssuer
1229021MedicaidIA

Other names 1

  • Seasons Center fo Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Mental HLTH C10 organizations share this tax ID, including this one
Part of
Northwest Mental HLTH C

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1831244516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014436",
            "telephone_number": "712-262-2922",
            "fax_number": "712-262-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 11TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014436",
            "telephone_number": "712-262-2922",
            "fax_number": "712-262-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IOWA MENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST IOWA MENTAL HEALTH CENTER",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "712-262-2922"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1229021",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seasons Center fo Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.