Provider Demographics
NPI:1962677088
Name:BEHAVORIAL HEALTH OPTIONS PLC
Entity Type:Organization
Organization Name:BEHAVORIAL HEALTH OPTIONS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:641-512-5565
Mailing Address - Street 1:PO BOX 379
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50402-0379
Mailing Address - Country:US
Mailing Address - Phone:641-512-5565
Mailing Address - Fax:641-423-0855
Practice Address - Street 1:1522 6TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-4820
Practice Address - Country:US
Practice Address - Phone:641-512-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00049251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB1084Medicare PIN