Prairie Ridge | |
320 N Eisenhower Ave Mason City IA 50401-1521 | |
(641) 424-2391 | |
(641) 424-0783 |
Full Name | Prairie Ridge |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 320 N Eisenhower Ave, Mason City, Iowa |
Authorized Official Name and Position | Larece Annette Bartusek (OFFICE MANAGER) |
Authorized Official Contact | 6412437222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prairie Ridge Po Box 1338 Mason City IA 50402-1338 Ph: (641) 424-2391 | Prairie Ridge 320 N Eisenhower Ave Mason City IA 50401-1521 Ph: (641) 424-2391 |
NPI Number | 1316454424 |
---|---|
Provider Enumeration Date | 01/10/2018 |
Last Update Date | 01/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316454424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Iowa) | Primary |
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› Verified 9 days ago
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Parents United Of North Central Iowa, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw Ste 107, Mason City, IA 50401 Phone: 541-424-5232 Fax: 641-424-8141 | |
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