Innovative Psychiatric Care Pc

LBN: Innovative Psychiatric Care Pc
Innovative Psychiatric Care Pc is an health care organization with primary practice located at 3900 Ingersoll Ave Suite 108, Des Moines IA 50312-3534. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Other Service Providers / Specialist is the primary health care specialty. Innovative Psychiatric Care Pc can be contacted via phone (515) 279-6200, or through Olson, Loren A via phone (515) 279-6200.

Contact Information

Primary practice address
3900 Ingersoll Ave Suite 108 Des Moines IA 50312-3534
Phone: (515) 279-6200
Fax: (515) 279-4528
Website:
Map and Directions
Authorized official contact:
Name: Olson, Loren A Doctor of Medicine (MD)
Phone: (515) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1306949896
LBN Legal business name Innovative Psychiatric Care Pc
DBA Doing business as
Authorized official Olson, Loren A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 30th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306949896 NPPES
Iowa MEDICAID 0249649

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