Healthcare Provider Details

I. General information

NPI: 1821459207
Provider Name (Legal Business Name): BRIDGEVIEW COMMUNITY MENTAL HEALTH CLINIC IHH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2016
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 19TH AVE NW
CLINTON IA
52732-2752
US

IV. Provider business mailing address

1320 19TH AVE NW
CLINTON IA
52732-2752
US

V. Phone/Fax

Practice location:
  • Phone: 563-243-5633
  • Fax: 563-243-9567
Mailing address:
  • Phone: 563-243-5633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: WILLIAM STEINHAUSER
Title or Position: CEO
Credential:
Phone: 563-243-5633