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Organization

IOWA CENTRAL INDUSTRIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOM ECKMAN (EXECUTIVE DIRECTOR)
(515) 576-2126
Entity
Organization

Contact information

Practice address
127 AVENUE M, FORT DODGE, IA 50501-5741
(515) 576-2126
(515) 576-2251
Mailing address
127 AVENUE M, FORT DODGE, IA 50501-5741
(515) 576-2126
(515) 576-2251

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0118356
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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