NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC (NPI# 1023282555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023282555 |
Entity Type | Organization |
Organization Name | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC |
Other Organization Name | UNITYPOINT HEALTH-BERRYHILL CENTER |
Practice Address |
123 1st Ave Sw Hampton IA 50441-2102 |
Mailing Address |
720 Kenyon Rd Fort Dodge IA 50501-5759 |
Practice Telephone | 5159557171 |
Mailing Telephone | 8004828305 |
Enumeration Date | 2008-04-16 |
Last Update Date | 2018-11-30 |
Authorized Official Name | AARON MCHONE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8004828305 |
Is Organization Subpart | Y |
Parent Organization Name | TRINITY HEALTH SYSTEMS, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 07466 | 01 | |
IA | 0159608 | 05 |
Other Name | Type Code |
---|---|
BERRYHILL CENTER FOR MENTAL HEALTH | Doing Business As Name - Organization |
UnityPoint Health-Berryhill Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902163298 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1050 15th St N, Humboldt, IA 50548-1076 | 2012-04-12 |
1811187917 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 726 S 17th St, Fort Dodge, IA 50501-5344 | 2007-07-26 |
1588701957 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 500 Fair Meadow Dr, Webster City, IA 50595-3209 | 2007-02-01 |
1104963586 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 120 1st Ave Nw Ste 2, Clarion, IA 50525-1445 | 2007-02-01 |
1871030536 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2017-01-19 |
1497136246 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 109 W State St, Algona, IA 50511-2657 | 2015-06-17 |
1871910588 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1762 Johnson Ave, Fort Dodge, IA 50501-8408 | 2014-03-20 |
1588926448 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1890 E Main St, Lake City, IA 51449-7706 | 2012-06-15 |
1588933089 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1470 21st Ave N, Fort Dodge, IA 50501-7114 | 2011-12-29 |
1639455074 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 728 14th Ave N, Fort Dodge, IA 50501-7016 | 2011-10-31 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INCORPORATED | 720 Kenyon Road, Fort Dodge, IA 50501 |
Street Address |
123 1ST AVE SW |
City | HAMPTON |
State | IA |
Zip Code | 50441-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003931866 | Community Services of Franklin County | Case Management | 123 1st Ave Sw, Hampton, IA 50441-2102 | 2007-03-20 |
1265674527 | Polly M Primus | Social Worker | 123 1st Ave Sw, Hampton, IA 50441-2102 | 2009-04-01 |
1659499762 | Community Services of Franklin County | Case Management | 123 1st Ave Sw, Hampton, IA 50441-2102 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457320459 | Franklin County | Home Health | 1600 Central Avenue East, Hampton, IA 50441 | 2006-03-14 |
1447222344 | Tara Hensley | Physician Assistant | 1720 Central Avenue East, Hampton, IA 50441 | 2006-02-03 |
1982674008 | Jay Russell Hickman | Chiropractor | Hickman Chiropractic, 820 4th St Ne, Hampton, IA 50441 | 2006-01-23 |
1972583557 | James Richard Koenen | Chiropractor | 303 Central Ave E, Hampton, IA 50441 | 2006-01-19 |
1184786113 | Koerner-whipple Pharmacies, Inc. | Pharmacy | 104 1st St Nw, Hampton, IA 50441 | 2006-12-15 |
1376643874 | Erin R Murphy | Physician Assistant | 1720 Central Avenue East, Hampton, IA 50441 | 2006-09-24 |
1730281031 | Daphne K Landers | Nurse Practitioner | 1720 Central Avenue East, Hampton, IA 50441 | 2006-09-05 |
1497766786 | Toni L Lauffer | Family Medicine | 1720 Central Avenue East, Hampton, IA 50441 | 2006-08-11 |
1053391631 | Chad Al Collins | Chiropractor | 303 Central Ave E, Hampton, IA 50441 | 2006-01-19 |
1699775981 | Craig L Semler | Optometrist | 402 12th Ave Ne, Hampton, IA 50441-0089 | 2005-07-28 |
Find all providers in zip 50441 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1053945576 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2633 Anchorage Rd Ne, Solon, IA 52333-9556 | 2020-02-24 |
1811533649 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 300, Osceola, IA 50213-1249 | 2019-11-27 |
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1548805021 | Central Iowa Trauma and Recovery Center | Clinic/Center | 301 E Court Ave Ste 105, Des Moines, IA 50309-2004 | 2019-11-08 |
1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.