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QUAKERDALE FAMILY SERVICES NPI 1689707622


NPI Information

NPI: 1689707622
Provider Name: QUAKERDALE FAMILY SERVICES

Doing Business As: QUAKERDALE

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
2932 240TH ST
MARSHALLTOWN, IA
ZIP 50158
Phone: (641) 752-3912
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QUAKERDALE FAMILY SERVICES is a voluntary or charitable in Marshalltown, IA. QUAKERDALE FAMILY SERVICES NPI is 1689707622. The provider is registered as an organization entity type.
The provider Is Doing Business As Quakerdale.

The provider's business location address is:

2932 240TH ST
MARSHALLTOWN, IA
ZIP 50158-984
Phone: (641) 752-3912
Fax: (641) 752-3639

The provider's authorized official is Beth Ann Andrew .
The authorized official title is Executive Director and has the following contact phone number (641) 752-3912.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 4/6/2022.


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
1251S00000XCommunity/Behavioral HealthNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
4251V00000XVoluntary or CharitableYes

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
11102145MEDICAIDIOWA

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: 5/5/2024

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