Southard Harrison Inc in Decorah - Clinical

Southard Harrison Inc - NPI 1003818956

Southard Harrison Inc is a Clinical in Decorah, Iowa. Southard Harrison Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Southard Harrison Inc is 1003818956. The last update date is 2022-07-21.

Southard Harrison Inc's current location address is 314 W Main St, Decorah, Iowa. You can contact this provider via phone number 5633822662 and fax number 5633822662. The mailing address for Southard Harrison Inc is 314 W Main St, Decorah, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southard Harrison Inc
Address 314 W Main St, Decorah, Iowa
Phone Number 5633822662
Fax Number 5633822662
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR T
Authorized Official Name Southard Marilyn
Credentials LISW
Telephone Number 5633822662

NPI Number Detail

NPI Number 1003818956
Provider Enumeration Date 2005-08-11
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 314 W Main St
City Decorah
State Iowa (IA)
Post Code 521011716
Phone Number 5633822662
Fax Number 5633822662

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41019 WELLMARK/KARLA PRESLER
11880 WELLMARK/MARILYN SOUTHARD

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FAQs about Southard Harrison Inc

What is the unique 10-digit identification code issued to Southard Harrison Inc by the Centers for Medicare & Medicaid Services?

The Southard Harrison Inc has been assigned the NPI (National Provider Identifier) 1003818956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Southard Harrison Inc's facilities are geographically located?

The facilities of Southard Harrison Inc are physically situated at the following location: 314 W Main St, Decorah, IA, 521011716.

What is the Southard Harrison Inc's specialty and taxonomy code?

The Southard Harrison Inc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Southard Harrison Inc receive the assignment of its 1003818956 from the Centers for Medicare & Medicaid Services?

The Southard Harrison Inc was issued its 1003818956 by the Centers for Medicare & Medicaid Services on 2005-08-11.

As of what date was the information regarding Southard Harrison Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Southard Harrison Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.

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