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Contact Information

HILLCREST FAMILY SERVICES
2005 ASBURY RD
DUBUQUE, IA52001-3042
 Phone: 563-583-7357
 Fax: 563-583-7026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Case Management

251B00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Planning, Non-Surgical

261QF0050X
 

Mental Health

101YM0800X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychiatric Residential Treatment Facility

323P00000X
 

Psychiatric/Mental Health

163WP0808X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Registered Nurse

163W00000X
 

School

103TS0200X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for HILLCREST FAMILY SERVICES

NPI Number 1326096116
LBN Legal business name HILLCREST FAMILY SERVICES
Authorized official GARY GANSEMER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2006
Last updated 10/26/2007 - About 19 years ago
Identifiers
IA Medicaid 0264705
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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