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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1306949896 | NPPES |
| Iowa | MEDICAID | 0249649 |
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