Story County Community Life Program
LBN: Story County Community Life Program
Story County Community Life Program is an health care organization with primary practice located at 104 S Hazel Ave , Ames IA 50010-5952. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Story County Community Life Program can be contacted via phone (515) 956-2600, or through Harken, Gayla R via phone (515) 956-2602.
Contact Information
Primary practice address
104 S Hazel Ave
Ames IA 50010-5952
Phone: (515) 956-2600
Fax: (515) 956-2609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1689986887 |
|---|---|
| LBN Legal business name | Story County Community Life Program |
| DBA Doing business as | |
| Authorized official | Harken, Gayla R MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2010 |
| Last updated | Jul 6th, 2010 - about 15 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 | 1689986887 | NPPES |
| Iowa | MEDICAID | 1366516114 |
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