Behavioral Health Centers Of So Ia - Centerville
LBN: Infinity Health
Behavioral Health Centers Of So Ia - Centerville is an health care organization with primary practice located at 221 E State St , Centerville IA 52544-1813. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Infinity Health can be contacted via phone (641) 856-6471, or through Cannon, Samantha via phone (641) 446-2383.
Contact Information
Primary practice address
221 E State St
Centerville IA 52544-1813
Phone: (641) 856-6471
Fax: (641) 856-2603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Iowa | |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1710102132 |
|---|---|
| LBN Legal business name | Infinity Health |
| DBA Doing business as | Behavioral Health Centers Of So Ia - Centerville |
| Authorized official | Cannon, Samantha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Feb 11th, 2022 - about 3 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 | 1710102132 | NPPES |
| Missouri | MEDICAID | 507402808 | |
| Missouri | MEDICAID | 0763805 | |
| Missouri | Other | 39014 |
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