Crossroads Of Western Iowa
LBN: Trivium Life Services
Crossroads Of Western Iowa is an health care organization with primary practice located at 1851 Madison Ave Ste 718 , Council Bluffs IA 51503-3602. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Adult Day Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Trivium Life Services can be contacted via phone (712) 256-7888, or through Zima, Darian Matthew via phone (712) 256-7888.
Contact Information
Primary practice address
1851 Madison Ave Ste 718
Council Bluffs IA 51503-3602
Phone: (712) 256-7888
Fax: (712) 256-6502
Website:
Health care specialties
Profile Details
| NPI number | 1841327673 |
|---|---|
| LBN Legal business name | Trivium Life Services |
| DBA Doing business as | Crossroads Of Western Iowa |
| Authorized official | Zima, Darian Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Dec 15th, 2021 - about 5 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 | 1841327673 | NPPES |
| Iowa | MEDICAID | 0761718 | |
| Iowa | MEDICAID | 0239913 | |
| Iowa | MEDICAID | 0106476 |
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