Organization
BETHANY CHRISTIAN SERVICES OF NORTHWEST IOWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM SCORZA MA, LMSW (BRANCH DIRECTOR)
(712) 737-4831
Entity
Organization
Contact information
Practice address
123 ALBANY AVE SE, ORANGE CITY, IA 51041-1715
(712) 737-4831
(712) 737-3238
Mailing address
123 ALBANY AVE SE, ORANGE CITY, IA 51041-1715
(712) 737-4831
(712) 737-3238
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
35396374
NE
251S00000X
Community/Behavioral Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639372642
BLUE-CROSS BLUE SHIELD
IA
05
—
1639372642
—
IA
Enumeration date
04/23/2009
Last updated
04/23/2009
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