MEDICARE: VERA FRENCH COMMUNITY MENTAL HEALTH

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
1	251S00000X	Community/Behavioral Health Agency		IA
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245291129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERA FRENCH COMMUNITY MENTAL HEALTH

Provider Business Mailing Address
First Line	:	1441 W CENTRAL PARK AVE
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52804-1707
Country	:	US
Telephone Number	:	563-383-1900
Fax Number	:	563-884-4638

Provider Business Practice Location Address
First Line	:	1441 W CENTRAL PARK AVE
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52804-1707
Country	:	US
Telephone Number	:	563-383-1900
Fax Number	:	563-884-4638

Authorized Official
Title or Position	:	CEO
Name	:	MS. ANNE P. ARMKNECHT
Credential	:	MBA HC
Telephone Number	:	563-888-6245

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	06/20/2018

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Directions to “VERA FRENCH COMMUNITY MENTAL HEALTH ” Practice Location

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