Healthcare Provider Details

I. General information

NPI: 1801867734
Provider Name (Legal Business Name): PLAINS AREA MENTAL HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 10TH ST SE SUITE 201
LE MARS IA
51031-2550
US

IV. Provider business mailing address

PO BOX 70
LE MARS IA
51031-0070
US

V. Phone/Fax

Practice location:
  • Phone: 712-546-4624
  • Fax: 712-546-9395
Mailing address:
  • Phone: 712-546-4624
  • Fax: 712-546-9395

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: KIM KELEHER
Title or Position: CEO
Credential:
Phone: 712-546-4624