| Good Shepherd Geriatric Center, Inc. | |
|
302 2nd St Ne Mason City IA 50401-3412 | |
| (641) 424-1740 | |
| Not Available |
| Full Name | Good Shepherd Geriatric Center, Inc. |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 302 2nd St Ne, Mason City, Iowa |
| Authorized Official Name and Position | Anne Demaris (BKPR) |
| Authorized Official Contact | 6414241740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Geriatric Center, Inc. 302 2nd St Ne Mason City IA 50401-3412 Ph: () - | Good Shepherd Geriatric Center, Inc. 302 2nd St Ne Mason City IA 50401-3412 Ph: (641) 424-1740 |
| NPI Number | 1639243496 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639243496 | NPI | - | NPPES |
| 6106872 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Primary |
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