Organization
ARCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY J KETELSEN (ADMINISTRATIVE ASSISTANT)
(563) 243-9035
Entity
Organization
Contact information
Practice address
715 S 3RD ST, CLINTON, IA 52732-4312
(563) 243-9035
(563) 243-7796
Mailing address
PO BOX 278, 715 SOUTH 3RD STREET, CLINTON, IA 52733-0278
(563) 243-9035
(563) 243-7796
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460246
—
IA
05
—
0890871
—
IA
05
—
0892711
—
IA
05
—
0896084
—
IA
Enumeration date
02/14/2007
Last updated
08/22/2020
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