BLUEBIRD BEHAVIORAL HEALTH NPI 1083385306

NPI Information

NPI: 1083385306
Provider Name: BLUEBIRD BEHAVIORAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5550 WILD ROSE LN STE 400
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 344-7755
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BLUEBIRD BEHAVIORAL HEALTH is a mental health (including community mental health center) clinic center in West Des Moines, IA. BLUEBIRD BEHAVIORAL HEALTH NPI is 1083385306. The provider is registered as an organization entity type.

The provider's business location address is:

5550 WILD ROSE LN STE 400
WEST DES MOINES, IA
ZIP 50266-351
Phone: (515) 344-7755
Fax: (515) 809-3855

The provider's authorized official is Megan L Stukenholtz .
The authorized official title is Arnp, Pmhnp-bc/owner and has the following contact phone number (515) 344-7755.

The enumeration date for this NPI number is 9/27/2021 and was last updated on 6/29/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	G118802	OTHER	IOWA	IOWA BOARD OF NURSING
2	5202608	OTHER	IOWA	IOWA BOARD OF PHARMACY - CSA

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: 5/5/2024

NPI Synchronization or Removal

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