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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