Jackson Recovery Centers, Inc., NPI 1811994973
Substance Abuse Rehabilitation Facility in Sioux City, IA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1811994973
NPI Entity Type Organization
Provider Name Jackson Recovery Centers, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 800 5th St, Suite 200, Sioux City, IA, US
Provider Mailing Address 800 5th Street, Sioux City, IA, US, 51101
Is Sole Proprietor? No
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Organization Official

Official Name Julie Enockson
Official Position VICE PRESIDENT CHIEF FINANCIAL OFFI
Phone 712-234-2302

Primary Taxonomy

Taxonomy Code

324500000X

Taxonomy Name Substance Abuse Rehabilitation Facility
Classification

Substance Abuse Rehabilitation Facility

Group

Residential Treatment Facilities

Description A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Business Address

Jackson Recovery Centers, Inc.
800 5th St
Suite 200

Sioux City, IA, US

Phone: 712-234-2300
Fax: 712-234-2398

Mailing Address

Jackson Recovery Centers, Inc.
800 5th Street
Sioux City, IA, US
ZIP 51101
Phone: 712-234-2300
Fax: 712-234-2398

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

251V00000X

Agencies

Voluntary or Charitable

IA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00-55012 IA MEDICAID 05
68223 IA WELLMARK PROVIDER NUMBER 01

Other Providers in IA, US

NPI Name Taxonomy Address

1023779097

TLMFT Stacy Lynn Grooms

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555 Cameron Way Ste 2

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1427680727

PT, DPT Joshua Dale Mitchell

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1578058962

DR. DPM Dallen Pope

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Foot & Ankle Surgery Podiatrist

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Waterloo, IA

1639894074

DR. PSYD Sheila Mccrea

Individual

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1942596176

M.D. Derek Lincoln Breder

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Orthopaedic Surgery Physician

2751 Northgate Dr

Iowa City, IA

1487151254

Bayli Triggs

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Counselor

2912 9th Ave

Council Bluffs, IA

1154076040

Stacy Jo Ann Watts

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Family Nurse Practitioner

1400 Senate Ave Ste 108

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1538429246

DR. M.D. Austin Jedidiah Ramme

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Orthopaedic Surgery Physician

2751 Northgate Dr

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1477076628

Forefront Dermatology, S.c.

Organization

Dermatology Physician

12327 Stratford Dr

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1093702409

PA-C Lisa Wells

Individual

Physician Assistant

666 Walnut St Ste 1610

Des Moines, IA

1811307903

LISW Travis Underwood

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Clinical Social Worker

226 West Main St Ste 201

Ottumwa, IA

1891704219

LISW Eva Ford

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Clinical Social Worker

605 East Winfield Ave

Mount Pleasant, IA

1023625142

DR. MD Moon Ley Tung

Individual

Clinical Genetics (M.D.) Physician

200 Hawkins Dr

Iowa City, IA

1699195818

DR. DO Maggie Diane Seblani

Individual

Pediatric Hematology & Oncology Physician

200 Hawkins Dr

Iowa City, IA

1114534237

DR. MD Bharatendu Chandra

Individual

Clinical Molecular Genetics Physician

200 Hawkins Dr

Iowa City, IA

1619521465

PHD Kimberly Chantelle Diah

Individual

Clinical Neuropsychologist

200 Hawkins Dr

Iowa City, IA

1922332808

Lewis Township Fire And Rescue Department

Organization

Land Ambulance

19770 Cypress Ave

Council Bluffs, IA

1609255991

M.D. Nicole Margo Grogan Fleege

Individual

Hematology & Oncology Physician

200 Hawkins Dr

Department Of Internal Medicine

Iowa City, IA

1801511282

Anna Marietta Patch

Individual

Clinical Social Worker

250 Laurel St

Des Moines, IA

1801829635

DR. M.D. Jorge H Perez-cardona

Individual

Hematology & Oncology Physician

1410 N 4th St

Clinton, IA

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