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Organization
MENTAL HEALTH CLINIC OF TAMA COUNTY IOWA INC
Active
Organization
MENTAL HEALTH CLINIC OF TAMA COUNTY IOWA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN GUMM MA (SITE DIRECTOR)
(641) 484-5234
Entity
Organization
Contact information
Practice address
1309 S BROADWAY, TOLEDO, IA 52342
(641) 484-5234
(641) 484-5632
Mailing address
PO BOX 7, 1309 S BROADWAY, TOLEDO, IA 52342
(641) 484-5234
(641) 484-5632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031484
—
IA
01
—
23307
WELLMARK BCBS
IA
Enumeration date
09/14/2006
Last updated
06/26/2013
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