Black Hawk-Grundy Mental Health Center Inc.
LBN: Black Hawk-Grundy Mental Health Center Inc.
Black Hawk-Grundy Mental Health Center Inc. is an health care organization with primary practice located at 3251 W 9Th St , Waterloo IA 50702-5310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Black Hawk-Grundy Mental Health Center Inc. can be contacted via phone (319) 234-2893, or through Eachus, Thomas Charles via phone (319) 234-2893.
Contact Information
Primary practice address
3251 W 9Th St
Waterloo IA 50702-5310
Phone: (319) 234-2893
Fax: (319) 234-0354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1316944598 |
|---|---|
| LBN Legal business name | Black Hawk-Grundy Mental Health Center Inc. |
| DBA Doing business as | |
| Authorized official | Eachus, Thomas Charles LISW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jun 19th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316944598 | NPPES |
| Iowa | MEDICAID | 0074435 |
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