| Berryhill Center | |
|
1762 Johnson Ave Fort Dodge IA 50501-8408 | |
| (515) 955-7171 | |
| (515) 573-7898 |
| Full Name | Berryhill Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1762 Johnson Ave, Fort Dodge, Iowa |
| Authorized Official Name and Position | Aaron Mchone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5159557171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berryhill Center 720 Kenyon Rd Fort Dodge IA 50501-5759 Ph: (515) 955-7171 | Berryhill Center 1762 Johnson Ave Fort Dodge IA 50501-8408 Ph: (515) 955-7171 |
| NPI Number | 1871910588 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871910588 | NPI | - | NPPES |
| 07466 | Other | IA | WELLMARK BCBS |
| 0159608 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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