Healthcare Provider Details

I. General information

NPI: 1013857218
Provider Name (Legal Business Name): BRIDGEVIEW HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 FERNDALE AVE
AMES IA
50010-4620
US

IV. Provider business mailing address

2410 FERNDALE AVE
AMES IA
50010-4620
US

V. Phone/Fax

Practice location:
  • Phone: 207-577-4017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM ACHEKH OUMAR
Title or Position: OWNER
Credential:
Phone: 207-577-4017