Mental Health Center Of North Iowa, Inc

LBN: Wellsource
Mental Health Center Of North Iowa, Inc is an health care organization with primary practice located at 235 S Eisenhower Avenue , Mason City IA 50401. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Wellsource can be contacted via phone (641) 424-2075, or through Eastwood, Andrew M via phone (641) 424-2075.

Contact Information

Primary practice address
235 S Eisenhower Avenue Mason City IA 50401
Phone: (641) 424-2075
Fax: (641) 424-9555
Website:
Map and Directions
Authorized official contact:
Name: Eastwood, Andrew M MSW
Phone: (641) 424-2075

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1992818249
LBN Legal business name Wellsource
DBA Doing business as Mental Health Center Of North Iowa, Inc
Authorized official Eastwood, Andrew M MSW
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2006
Last updated Jan 23rd, 2015 - about 10 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 1992818249 NPPES
Iowa MEDICAID 00065243

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