Community Outreach Services, Llc in Johnston - Community/behavioral Health
Community Outreach Services, Llc - NPI 1740470343
Community Outreach Services, Llc is a Community/behavioral Health in Johnston, Iowa. Community Outreach Services, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Community Outreach Services, Llc is 1740470343. The last update date is 2007-07-30.
Community Outreach Services, Llc's current location address is Po Box 816, Johnston, Iowa. You can contact this provider via phone number 5153091204. The mailing address for Community Outreach Services, Llc is Po Box 816, Johnston, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Outreach Services, Llc |
|---|---|
| Address | Po Box 816, Johnston, Iowa |
| Phone Number | 5153091204 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Bustamante Edward James |
| Credentials | MA, LMHC, |
| Telephone Number | 5153091204 |
NPI Number Detail
| NPI Number | 1740470343 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | Po Box 816 |
|---|---|
| City | Johnston |
| State | Iowa (IA) |
| Post Code | 501310816 |
| Phone Number | 5153091204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11312 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Community Outreach Services, Llc by the Centers for Medicare & Medicaid Services?
The Community Outreach Services, Llc has been assigned the NPI (National Provider Identifier) 1740470343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Community Outreach Services, Llc is physically located?
The Community Outreach Services, Llc is situated at the following address: Po Box 816, Johnston, IA 501310816.
What is Community Outreach Services, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Community Outreach Services, Llc is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date was the 1740470343 assigned to Community Outreach Services, Llc?
The Community Outreach Services, Llc was issued its 1740470343 on 2007-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Community Outreach Services, Llc most recently updated or refreshed?
The details pertaining to the Community Outreach Services, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-30.
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