Provider Demographics
NPI:1467423657
Name:MENTAL HEALTH INSTITUTE
Entity Type:Organization
Organization Name:MENTAL HEALTH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOC. SUPT. OF ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-385-7231
Mailing Address - Street 1:1200 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-1804
Mailing Address - Country:US
Mailing Address - Phone:319-385-7231
Mailing Address - Fax:319-385-8788
Practice Address - Street 1:1200 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-1804
Practice Address - Country:US
Practice Address - Phone:319-385-7231
Practice Address - Fax:319-385-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA064004Medicaid
IA64004OtherBLUE CROSS INSURANCE
IA264004OtherIOWA CARE
IA264004OtherIOWA CARE