Ottumwa Psychiatric Clinic Pc | |
1112 N Van Buren Ave Suite 2 Ottumwa IA 52501-6416 | |
(641) 684-7744 | |
(641) 684-7700 |
Full Name | Ottumwa Psychiatric Clinic Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1112 N Van Buren Ave, Ottumwa, Iowa |
Authorized Official Name and Position | Ronald Ray Berges (PRESIDENT/MEDICAL DIRECTOR) |
Authorized Official Contact | 6416847744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ottumwa Psychiatric Clinic Pc 1112 N Van Buren Ave Suite 2 Ottumwa IA 52501-6416 Ph: (641) 684-7744 | Ottumwa Psychiatric Clinic Pc 1112 N Van Buren Ave Suite 2 Ottumwa IA 52501-6416 Ph: (641) 684-7744 |
NPI Number | 1548377401 |
---|---|
Provider Enumeration Date | 08/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548377401 | NPI | - | NPPES |
2776088 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 02659 (Iowa) | Primary |
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