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 Agencies / Community/Behavioral Health, 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:
Map and Directions
Authorized official contact:
Name: Harken, Gayla R
Phone: (515) 956-2602

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1902024755
LBN Legal business name Story County Community Life Program
DBA Doing business as
Authorized official Harken, Gayla R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902024755 NPPES
Iowa MEDICAID 0745851

Popular Providers