Organization
MENTAL HEALTH INSTITUTE
Active
Parent organization
MENTAL HEALTH INSTITUTE
Other names
Psychiatric Phsycians Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTAL HEALTH INSTITUTE
Authorized official
DR. BHASKER DAVE M.D. (SUPERINTENDANT)
(319) 334-2583
Entity
Organization
Contact information
Practice address
2277 IOWA AVE, INDEPENDENCE, IA 50644-9106
(319) 334-2583
(319) 334-5252
Mailing address
2277 IOWA AVE, INDEPENDENCE, IA 50644-9106
(319) 334-2583
(319) 334-5252
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
100068H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096867
—
IA
01
—
30832
B.C.B.S. OF IOWA GRP. PRA
IA
Enumeration date
05/12/2006
Last updated
08/31/2007
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