| Optimae Lifeservices, Inc | |
|
301 W Burlington Ave Fairfield IA 52556-3242 | |
| (641) 472-1684 | |
| (641) 472-4609 |
| Full Name | Optimae Lifeservices, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 W Burlington Ave, Fairfield, Iowa |
| Authorized Official Name and Position | Nancy Lynn Mcstockard (DIRECTOR OF BILLING) |
| Authorized Official Contact | 6414721684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimae Lifeservices, Inc 301 W Burlington Ave Fairfield IA 52556-3242 Ph: (641) 472-1684 | Optimae Lifeservices, Inc 301 W Burlington Ave Fairfield IA 52556-3242 Ph: (641) 472-1684 |
| NPI Number | 1508955485 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508955485 | NPI | - | NPPES |
| 0417980 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 4 days ago
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