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Organization
SOUTHERN IOWA MENTAL HEALTH CENTER
Active
Organization
SOUTHERN IOWA MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA SCHARK MHA (EXECUTIVE DIRECTOR)
(641) 682-8772
Entity
Organization
Contact information
Practice address
1527 ALBIA RD, OTTUMWA, IA 52501-3907
(641) 682-8772
(641) 682-1924
Mailing address
1527 ALBIA RD, OTTUMWA, IA 52501-3907
(641) 682-8772
(641) 682-1924
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1653953670
—
IA
01
—
1659353670
BLUE CROSS & BLUE SHIELD OF IA
—
Enumeration date
11/16/2005
Last updated
12/10/2021
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