HILLS AND DALES CHILD DEVELOPMENT CENTER NPI 1710958632

NPI Information

NPI: 1710958632
Provider Name: HILLS AND DALES CHILD DEVELOPMENT CENTER
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1011 DAVIS ST
DUBUQUE, IA
ZIP 52001
Phone: (563) 556-7878
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HILLS AND DALES CHILD DEVELOPMENT CENTER is an intermediate care facility mentally retarded in Dubuque, IA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HILLS AND DALES CHILD DEVELOPMENT CENTER NPI is 1710958632. The provider is registered as an organization entity type.

The provider's business location address is:

1011 DAVIS ST
DUBUQUE, IA
ZIP 52001-306
Phone: (563) 556-7878
Fax: (563) 557-3822

The provider's authorized official is Jack Mescher .
The authorized official title is Ceo and has the following contact phone number (563) 556-7878.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 6/6/2023.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities		310131	IOWA	Yes

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	0880260	MEDICAID	IOWA

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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