Organization
MOSAIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI SOLE (DIRECTOR OF BILLING)
(402) 896-5827
Entity
Organization
Contact information
Practice address
1200 S 15TH ST, DENISON, IA 51442-2800
(712) 644-2378
(712) 664-3501
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2220
(402) 896-3884
(402) 894-4780
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
240787
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0882001
—
IA
Enumeration date
01/18/2007
Last updated
11/06/2020
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