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Organization

BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER

Active
Other names
Bridgeview Community Mental Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LISA CHRISTOPHER (CONTRACTING & CREDENTIALING COOR)
(563) 327-0203
Entity
Organization

Contact information

Practice address
1320 19TH AVE NW, CLINTON, IA 52732-2752
(563) 243-5633
(563) 243-9567
Mailing address
1320 19TH AVE NW, CLINTON, IA 52732-2752
(563) 243-5633
(563) 243-9567

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
163WP0808X
Psychiatric/Mental Health Registered Nurse
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0707426
IA
Enumeration date
05/04/2006
Last updated
05/01/2025
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