Kimberly Anne Conrad Plc

LBN: Kimberly Anne Conrad Plc
Kimberly Anne Conrad Plc is an health care organization with primary practice located at 100 1St Ave Sw , Waucoma IA 52171-9705. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / School is the primary health care specialty. Kimberly Anne Conrad Plc can be contacted via phone (563) 776-4060, or through Conrad, Kimberly Anne via phone (319) 240-0944.

Contact Information

Primary practice address
100 1St Ave Sw Waucoma IA 52171-9705
Phone: (563) 776-4060
Fax: (563) 776-4061
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Kimberly Anne SED
Phone: (319) 240-0944

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 351029 Iowa
Agencies / Community/Behavioral Health 251S00000X 06449 Iowa

Profile Details

NPI number 1932286085
LBN Legal business name Kimberly Anne Conrad Plc
DBA Doing business as
Authorized official Conrad, Kimberly Anne SED
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 25th, 2007 - about 17 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 1932286085 NPPES
Iowa MEDICAID 0470138
Iowa MEDICAID 1012617

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