Organization
MHC CHILD PROTECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J ROBERSON (CFO)
(712) 279-5850
Entity
Organization
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1394
(712) 279-2548
Mailing address
PO BOX 1463, SIOUX CITY, IA 51102-1463
(712) 279-2263
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290858
—
IA
01
—
29085
WELLMARK
IA
Enumeration date
01/12/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us