NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC (NPI# 1629354063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629354063 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC |
| Other Organization Name | BERRYHILL CENTER FOR MENTAL HEALTH |
| Practice Address |
800 13th St S Humboldt IA 50548-2439 |
| Mailing Address |
720 Kenyon Rd Fort Dodge IA 50501-5759 |
| Practice Telephone | 5153324104 |
| Practice Fax Number | 5155737898 |
| Mailing Telephone | 8004828305 |
| Mailing Fax Number | 5155737989 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | AARON D MCHONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8004828305 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEATLH 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 |
|---|---|---|---|
| WELLMARK BC/BS | 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 |
800 13TH ST S |
| City | HUMBOLDT |
| State | IA |
| Zip Code | 50548-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475487 | Qhc Humboldt South LLC | Skilled Nursing Facility | 800 13th St S, Humboldt, IA 50548-2439 | 2005-08-28 |
| 1477190197 | Haley Nicole Main | Speech-Language Pathologist | 800 13th St S, Humboldt, IA 50548-2439 | 2019-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823969 | Shanna Renae Studer | Optometrist | 10 Taft St. S, Humboldt, IA 50548 | 2018-05-30 |
| 1093028045 | Cody Gene Olson | Dentist | 1101 13th St. N, Suite 1, North Park Family Dentistry, Humboldt, IA 50548 | 2010-07-20 |
| 1295055648 | Pain Be-gone Anesthesia Services Inc | Clinic/Center | 1001 12th St N, Humboldt, IA 50548 | 2010-06-08 |
| 1366654543 | 1st Avenue Chiropractic, P.C. | Clinic/Center | 611 1 St Ave Chiropractic, Humboldt, IA 50548 | 2007-05-03 |
| 1346272705 | Harvey Evans PC | Dentist | 1014 15th St N, Humboldt, IA 50548 | 2006-07-07 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
| 1659359867 | Humboldt County Memorial Hospital | Public Health or Welfare | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-01-06 |
| 1194702977 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2005-12-22 |
| 1629069786 | David Ruzicka | Emergency Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2005-10-28 |
| Find all providers in zip 50548 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558875062 | Sail Inc | Clinic/Center | 724 Sumner Ave, Humboldt, IA 50548-1763 | 2017-11-20 |
| 1902163298 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1050 15th St N, Humboldt, IA 50548-1076 | 2012-04-12 |
| 1467414771 | Southeast Kansas Mental Health Center | Clinic/Center | 1106 S 9th St, Humboldt, KS 66748-1934 | 2006-04-03 |
| 1841652203 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1010 15th St N, Humboldt, IA 50548-1008 | 2016-03-24 |
| 1578980280 | North Central Iowa Mental Health Center Inc | Clinic/Center | 21 Taft St N, Humboldt, IA 50548-1768 | 2014-03-20 |
| 1619253051 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2011-10-31 |
| 1528344967 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1111 11th Ave N, Humboldt, IA 50548-1228 | 2011-10-31 |
| 1992846752 | Southeast Kansas Mental Health Center | Clinic/Center | 1106 S 9th St, Humboldt, KS 66748-1934 | 2007-02-12 |
| 1801937669 | Southeast Kansas Mental Health Center | Clinic/Center | 1106 S 9th St, Humboldt, KS 66748-1934 | 2007-02-12 |
| 1619014008 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2007-02-01 |
| Find all providers in HUMBOLDT | ||||
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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.