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NPI Code Detail

MEDICARE: HILLCREST FAMILY SERVICES

MEDICARE: HILLCREST FAMILY SERVICES
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
12084P0800XPsychiatry Physician
2101YM0800XMental Health Counselor
3103TC0700XClinical Psychologist
4103TC1900XCounseling Psychologist
5363LF0000XFamily Nurse Practitioner
6103TS0200XSchool Psychologist
7104100000XSocial Worker
81041C0700XClinical Social Worker
9163W00000XRegistered Nurse
10163WP0808XPsychiatric/Mental Health Registered Nurse
11251B00000XCase Management Agency
12261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
13323P00000XPsychiatric Residential Treatment Facility
14261QF0050XNon-Surgical Family Planning Clinic/Center
152084P0804XChild & Adolescent Psychiatry Physician

Other Identifiers

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

General Provider Information

NPI Number : 1326096116
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILLCREST FAMILY SERVICES
Provider Business Mailing Address
First Line : 2005 ASBURY RD
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-3042
Country : US
Telephone Number : 563-583-7357
Fax Number : 563-583-7026
Provider Business Practice Location Address
First Line : 2005 ASBURY RD
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-3042
Country : US
Telephone Number : 563-583-7357
Fax Number : 563-583-7026
Authorized Official
Title or Position : CEO
Name : MR. GARY L GANSEMER
Credential :
Telephone Number : 563-583-7357
Provider Enumeration Date : 05/04/2006
Last Update Date : 10/26/2007

Similar Medicare Providers

1457204976 — ANNA CRUMPLER REED
Practice Location Address:
2005 ASBURY RD
DUBUQUE, IA
52001-3042
Practice Phone: 563-583-7357
Practice Fax:
1548211675 — MS. ANNE MARLENE HEDRICK LMSW
Practice Location Address:
2005 ASBURY RD
DUBUQUE, IA
52001-3042
Practice Phone: 563-583-7357
Practice Fax: 563-583-7026
1679524532 — MS. YVETTE MARIE COOK-SAEUGLING LISW
Practice Location Address:
2005 ASBURY RD
DUBUQUE, IA
52001-3042
Practice Phone: 563-583-7357
Practice Fax: 563-583-7026
1164627451 — HILLCREST FAMILY SERVICES
Practice Location Address:
2005 ASBURY RD
DUBUQUE, IA
52001-3042
Practice Phone: 563-583-7357
Practice Fax:
1972708261 — HILLCREST FAMILY SERVICES
Practice Location Address:
2005 ASBURY RD
DUBUQUE, IA
52001-3042
Practice Phone: 563-583-7357
Practice Fax:
1518163278 — HILLCREST FAMILY SERVICES
Practice Location Address:
2005 ASBURY RD
DUBUQUE, IA
52001-3042
Practice Phone: 563-583-7357
Practice Fax:

Directions to “HILLCREST FAMILY SERVICES ” Practice Location

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