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Contact Information

JAMES SEVERA
100 EAST BROADWAY
COUNCIL BLUFFS, IA51503
 Phone: 712-323-4478
 Fax: 712-323-4188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JAMES SEVERA

NPI Number 1679581110
LBN Legal business name JAMES SEVERA
Authorized official JULIE BAILEY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2006
Last updated 09/10/2009 - About 17 years ago
Identifiers
IA License # 22841
IA License # 26898
IA License # T-044087
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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