Healthcare Provider Details

I. General information

NPI: 1639082209
Provider Name (Legal Business Name): SUMMIT BHC IOWA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 2ND ST
BAYARD IA
50029-7722
US

IV. Provider business mailing address

501 CORPORATE CENTRE DR STE 600
FRANKLIN TN
37067-2784
US

V. Phone/Fax

Practice location:
  • Phone: 888-919-2880
  • Fax: 515-217-4745
Mailing address:
  • Phone: 615-637-7218
  • Fax: 629-899-7049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMES STEPHEN HINKLE
Title or Position: GENERAL COUNSEL & SECRETARY
Credential:
Phone: 615-637-7218