Berryhill Center For Mental Health | |
1470 21st Ave N Fort Dodge IA 50501-7114 | |
(515) 573-8243 | |
(515) 573-7898 |
Full Name | Berryhill Center For Mental Health |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1470 21st Ave N, Fort Dodge, Iowa |
Authorized Official Name and Position | Aaron D Mchone (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8004828305 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Berryhill Center For Mental Health 720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (800) 482-8305 | Berryhill Center For Mental Health 1470 21st Ave N Fort Dodge IA 50501-7114 Ph: (515) 573-8243 |
NPI Number | 1588933089 |
---|---|
Provider Enumeration Date | 12/29/2011 |
Last Update Date | 11/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588933089 | NPI | - | NPPES |
0159608 | Medicaid | IA | |
07466 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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