| Full Name | Lincoln Ridge |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2815 Lincoln Ave, Keokuk, Iowa |
| Authorized Official Name and Position | Rod Hotek (CEO) |
| Authorized Official Contact | 6414721684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Ridge 301 W Burlington Ave Fairfield IA 52556-3242 Ph: (641) 472-1684 | Lincoln Ridge 2815 Lincoln Ave Keokuk IA 52632-2611 Ph: (319) 524-3185 |
| NPI Number | 1497929780 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497929780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CMHC (Iowa) | Primary |
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