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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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1225161987
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 STEINHAUSER
Credential :
Telephone Number : 563-243-5633
Provider Enumeration Date : 03/13/2007
Last Update Date : 03/06/2025

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1467639401 — DAVID LOUIS SIEVERS LMHC
Practice Location Address:
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Directions to “BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER ” Practice Location

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