Optimae Lifeservices, Inc,

LBN: Optimae Lifeservices, Inc,
Optimae Lifeservices, Inc, is an health care organization with primary practice located at 301 W Burlington Ave , Fairfield IA 52556-3242. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Optimae Lifeservices, Inc, can be contacted via phone (641) 472-5771, or through Mcstockard, Nancy Lynn via phone (641) 472-1684.

Contact Information

Primary practice address
301 W Burlington Ave Fairfield IA 52556-3242
Fax: (641) 472-1817
Website:
Authorized official contact:
Name: Mcstockard, Nancy Lynn

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 03816 Iowa
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174520084
LBN Legal business name Optimae Lifeservices, Inc,
DBA Doing business as
Authorized official Mcstockard, Nancy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 29th, 2013 - about 13 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 1174520084 NPPES
Iowa MEDICAID 0272021
Iowa Other 58181

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