Organization
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
Active
Parent organization
TRINITY HEALTH SYSTEMS, INC
Other names
UnityPoint Health-Berryhill Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH SYSTEMS, INC
Authorized official
JENNIFER PULLEN LMHC (EXECUTIVE DIRECTOR)
(515) 955-7171
Entity
Organization
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 955-7171
(515) 573-7898
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 955-7171
(515) 573-7898
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BC/BS
IA
Enumeration date
10/16/2006
Last updated
01/20/2022
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