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NPI Code Detail

MEDICARE: BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER

MEDICARE: BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3103T00000XPsychologist
4103TC2200XClinical Child & Adolescent Psychologist
5104100000XSocial Worker
61041C0700XClinical Social Worker
7163WP0808XPsychiatric/Mental Health Registered Nurse
8251S00000XCommunity/Behavioral Health Agency
9363L00000XNurse Practitioner
10363LP0808XPsychiatric/Mental Health Nurse Practitioner
11261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1205969961
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER
Provider Business Mailing Address
First Line : 1320 19TH AVE NW
Second Line :
City : CLINTON
State : IA
Zip : 52732-2752
Country : US
Telephone Number : 563-243-5633
Fax Number : 563-243-9567
Provider Business Practice Location Address
First Line : 1320 19TH AVE NW
Second Line :
City : CLINTON
State : IA
Zip : 52732-2752
Country : US
Telephone Number : 563-243-5633
Fax Number : 563-243-9567
Authorized Official
Title or Position : CEO
Name : WILLIAM PHILIP STEINHAUSER
Credential :
Telephone Number : 309-797-7700
Provider Enumeration Date : 03/13/2007
Last Update Date : 03/06/2025

Similar Medicare Providers

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Practice Location Address:
1320 19TH AVE NW
CLINTON, IA
52732-2752
Practice Phone: 563-243-5633
Practice Fax: 563-243-9567
1609823012 — PAUL BLAIR LISW
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1003990896 — TINA BUDREAU ARNP
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1320 19TH AVE NW
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52732-2752
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Practice Fax: 563-243-9567
1659400323 — BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:
1320 19TH AVE NW
CLINTON, IA
52732-2752
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1225161987 — BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER
Practice Location Address:
1320 19TH AVE NW
CLINTON, IA
52732-2752
Practice Phone: 563-243-5633
Practice Fax: 563-243-9567
1467639401 — DAVID LOUIS SIEVERS LMHC
Practice Location Address:
1320 19TH AVE NW
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52732-2752
Practice Phone: 563-243-5633
Practice Fax: 563-243-9567

Directions to “BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER ” Practice Location

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