Organization
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
Active
Parent organization
UNITYPOINT HEALTH-TRINITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITYPOINT HEALTH-TRINITY
Authorized official
DIANE OCONNOR (BUSINESS SERVICES MGR)
(800) 482-8305
Entity
Organization
Contact information
Practice address
135 WARNER ST, ROCKWELL CITY, IA 50579-1722
(800) 482-8305
(515) 573-7898
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(800) 482-8305
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
—
0159608
—
IA
Enumeration date
11/29/2018
Last updated
11/29/2018
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