Organization
PRAIRIE RIDGE INTEGRATED BEHAVIORAL HEALTHCARE
Active
Other names
Prairie Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MARIE MILLER (BILLING SUPERVISOR)
(641) 424-2391
Entity
Organization
Contact information
Practice address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
(641) 424-0783
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 424-2391
(641) 424-0783
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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