PRELUDE BEHAVIORAL SERVICES NPI 1588615355

NPI Information

NPI: 1588615355
Provider Name: PRELUDE BEHAVIORAL SERVICES

Former Legal Business Name: (FORMERLY MECCA SERVICES)

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
430 SOUTHGATE AVE
IOWA CITY, IA
ZIP 52240
Phone: (319) 351-4357
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PRELUDE BEHAVIORAL SERVICES is a substance abuse rehabilitation facility in Iowa City, IA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PRELUDE BEHAVIORAL SERVICES NPI is 1588615355. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is (formerly Mecca Services).

The provider's business location address is:

430 SOUTHGATE AVE
IOWA CITY, IA
ZIP 52240-425
Phone: (319) 351-4357
Fax: (319) 341-0085

The provider's authorized official is Christine Russell .
The authorized official title is Cfo and has the following contact phone number (319) 351-4357.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 3/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		NONE LISTED	IOWA	Yes
2	251S00000X	Community/Behavioral Health				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	68211	OTHER	IOWA	WELLMARK PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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