| Lutheran Services In Iowa | |
|
3125 Cottage Grove Ave Des Moines IA 50311-3809 | |
| (515) 277-4476 | |
| (515) 271-7450 |
| Full Name | Lutheran Services In Iowa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3125 Cottage Grove Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Deb Gay (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5152717388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Services In Iowa 3125 Cottage Grove Ave Des Moines IA 50311-3809 Ph: (515) 277-4476 | Lutheran Services In Iowa 3125 Cottage Grove Ave Des Moines IA 50311-3809 Ph: (515) 277-4476 |
| NPI Number | 1609954197 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609954197 | NPI | - | NPPES |
| 1430421 | Medicaid | IA | |
| 0430421 | Medicaid | IA | |
| 0092874 | Medicaid | IA | |
| 2430421 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Iowa) | Primary |
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