Organization
CLARINDA MENTAL HEALTH INSTITUTE
Active
Other names
Mental Health Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEREDITH K. BAKER (BUSINESS MANAGER)
(712) 542-2161
Entity
Organization
Contact information
Practice address
1800 N 16TH ST, CLARINDA, IA 51632-1165
(712) 542-2161
Mailing address
1800 N 16TH ST, CLARINDA, IA 51632-1165
(712) 542-2161
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
730132H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064858000
MAGELLAN BEHAVIORAL HEALT
IA
05
—
0850016
—
IA
05
—
2640052
—
IA
01
—
30820
MEDICARE PART B
IA
01
—
64005
WELLMARK BLUE CROSS
IA
Enumeration date
11/09/2005
Last updated
01/05/2015
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