| Support Services Of South Central Iowa | |
|
306 Public Sq Greenfield IA 50849-1257 | |
| (641) 743-0063 | |
| (641) 743-0904 |
| Full Name | Support Services Of South Central Iowa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 306 Public Sq, Greenfield, Iowa |
| Authorized Official Name and Position | Jean M Rommes (PRESIDENT) |
| Authorized Official Contact | 6417828495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Services Of South Central Iowa 306 Public Sq Greenfield IA 50849-1257 Ph: (641) 743-0063 | Support Services Of South Central Iowa 306 Public Sq Greenfield IA 50849-1257 Ph: (641) 743-0063 |
| NPI Number | 1053467159 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053467159 | NPI | - | NPPES |
| 0219832 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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