Camelot Square

LBN: Wesco Industries
Camelot Square is an health care organization with primary practice located at 415 S 11Th St , Denison IA 51442-2451. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Wesco Industries can be contacted via phone (712) 263-6141, or through Brewer, Amanda via phone (712) 263-6141.

Contact Information

Primary practice address
415 S 11Th St Denison IA 51442-2451
Phone: (712) 263-6141
Fax: (712) 263-4886
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Amanda
Phone: (712) 263-6141

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1760545057
LBN Legal business name Wesco Industries
DBA Doing business as Camelot Square
Authorized official Brewer, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
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 1760545057 NPPES
Iowa MEDICAID 0228346
Iowa MEDICAID 0893248
Iowa MEDICAID 0120535

Popular Providers