Provider Demographics
NPI:1003912569
Name:FAMILY FOUNDATIONS OF IOWA, INC.
Entity Type:Organization
Organization Name:FAMILY FOUNDATIONS OF IOWA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIEMENS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:563-359-7625
Mailing Address - Street 1:2435 KIMBERLY RD
Mailing Address - Street 2:SUITE 155
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3509
Mailing Address - Country:US
Mailing Address - Phone:563-359-7625
Mailing Address - Fax:563-459-0494
Practice Address - Street 1:2435 KIMBERLY RD
Practice Address - Street 2:SUITE 155
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3509
Practice Address - Country:US
Practice Address - Phone:563-359-7625
Practice Address - Fax:563-459-0494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA43006OtherBLUE CROSS BLUE SHIELD
IA43006OtherBLUE CROSS BLUE SHIELD