Provider Demographics
NPI:1518039015
Name:CAM INC
Entity Type:Organization
Organization Name:CAM INC
Other - Org Name:TIMBER CREEK THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MC CARTY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:641-747-3225
Mailing Address - Street 1:2400 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-8878
Mailing Address - Country:US
Mailing Address - Phone:641-747-3225
Mailing Address - Fax:641-747-3045
Practice Address - Street 1:2400 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115-8878
Practice Address - Country:US
Practice Address - Phone:641-747-3225
Practice Address - Fax:641-747-3045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0665000Medicaid
166578Medicare Oscar/Certification
166500Medicare Oscar/Certification