| Bridgeview Community Mental Health Center | |
|
1320 19th Ave Nw Clinton IA 52732-2752 | |
| (563) 243-5633 | |
| (563) 243-9567 |
| Full Name | Bridgeview Community Mental Health Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1320 19th Ave Nw, Clinton, Iowa |
| Authorized Official Name and Position | Jocelyn Meyer (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5632435633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeview Community Mental Health Center 1320 19th Ave Nw Clinton IA 52732-2752 Ph: (563) 243-5633 | Bridgeview Community Mental Health Center 1320 19th Ave Nw Clinton IA 52732-2752 Ph: (563) 243-5633 |
| NPI Number | 1659400323 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 04/08/2020 |
| Certification Date | 04/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659400323 | NPI | - | NPPES |
| 0486308 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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