North Iowa Transition Center | |
408 1st St Nw Mason City IA 50401-3004 | |
(641) 424-8708 | |
(641) 421-7809 |
Full Name | North Iowa Transition Center |
---|---|
Speciality | Community/behavioral Health |
Location | 408 1st St Nw, Mason City, Iowa |
Authorized Official Name and Position | Connie Bleile (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6414248708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North Iowa Transition Center Po Box 1503 Mason City IA 50402-1503 Ph: (641) 424-8708 | North Iowa Transition Center 408 1st St Nw Mason City IA 50401-3004 Ph: (641) 424-8708 |
NPI Number | 1578634143 |
---|---|
Provider Enumeration Date | 11/13/2006 |
Last Update Date | 11/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578634143 | NPI | - | NPPES |
1229377 | Medicaid | IA | |
0229377 | Medicaid | IA | |
1737874 | Medicaid | IA | |
0739417 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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