SUBSTANCE ABUSE SERVICES CENTER (NPI# 1659703742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659703742 |
| Entity Type | Organization |
| Organization Name | SUBSTANCE ABUSE SERVICES CENTER |
| Other Organization Name | SASC-MANCHESTER |
| Practice Address |
909 W Main St Suite 1 Manchester IA 52057-1522 |
| Practice Telephone | 5639275112 |
| Practice Fax Number | 5639273340 |
| Mailing Telephone | 5639275112 |
| Mailing Fax Number | 5639273340 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | DIANE K THOMAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5639275112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1216 | IA | Agencies |
| Other Name | Type Code |
|---|---|
| SASC-Manchester | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063848711 | Substance Abuse Services Center | Community/Behavioral Health | 4403 1st Ave Se, Suite 307, Cedar Rapids, IA 52402-3200 | 2013-09-25 |
| 1164402293 | Substance Abuse Services Center | Counselor | 799 Main St, Suite 270, Dubuque, IA 52001-6844 | 2006-01-17 |
| Street Address |
909 W MAIN ST SUITE 1 |
| City | MANCHESTER |
| State | IA |
| Zip Code | 52057-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215352919 | Hawk Nation Chiropractic LLC | Chiropractor | 909 W Main St, Ste 2, Manchester, IA 52057-1522 | 2014-03-04 |
| 1588086789 | Marie Shaw | Counselor | 909 W Main St, Suite 1, Manchester, IA 52057-1522 | 2014-01-08 |
| 1164844411 | Debra Prier | Counselor | 909 W Main St, Suite 1, Manchester, IA 52057-1522 | 2014-01-06 |
| 1922370444 | Zachary Robert Lujan | Chiropractor | 909 W Main St, Suite 2, Manchester, IA 52057-1522 | 2012-01-30 |
| 1851603930 | Mary Jo Shover | Licensed Practical Nurse | 909 W Main St, Ste 2, Manchester, IA 52057 | 2010-07-06 |
| 1669799417 | Jena Lujan | Chiropractor | 909 W Main St, Suite 2, Manchester, IA 52057-1522 | 2010-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
| 1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
| 1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
| 1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
| Find all providers in zip 52057 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879500 | New Paths Counseling and Recovery Services | Community/Behavioral Health | 25 Lowell St Ste 203, Manchester, NH 03101-1647 | 2018-01-25 |
| 1053761270 | Waters Edge Therapy, Inc | Community/Behavioral Health | 127 Worthing Rd, Manchester, ME 04351-3234 | 2016-06-18 |
| 1821400888 | Emdr Training Center LLC | Community/Behavioral Health | 11 Hassam Ct, Manchester, MO 63021-5105 | 2014-05-27 |
| 1053740662 | Mike Lewis | Community/Behavioral Health | 604 College St, Manchester, TN 37355-1769 | 2013-11-04 |
| 1831534213 | Dickerson Enterprise LLC | Community/Behavioral Health | 872 Vernon St, Manchester, CT 06042-2415 | 2013-04-30 |
| 1932386463 | Family Strategies and Services | Community/Behavioral Health | 117 Market St, Manchester, NH 03101-1933 | 2008-01-28 |
| 1437209749 | Delaware County Community Life | Community/Behavioral Health | 601 Grant Street, Manchester, IA 52057-2005 | 2007-01-11 |
| 1225659956 | Extended Family Care LLC | Community/Behavioral Health | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2020-05-05 |
| 1629620976 | Del Marillac Counseling Services, Pllc | Community/Behavioral Health | 35 High St, Manchester, NH 03104-6116 | 2019-07-16 |
| 1205305497 | Elevate Counseling Services LLC | Community/Behavioral Health | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-11-16 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 52057 |
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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.