Entity Details

Clive Behavioral Health ( Hospital )

Basic

Entity Type:
Hospital (Hospital)

Medicaid #:

CCN #:
164007

Occupancy Type:
Beds

Max Occupancy:

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
The Joint Commission

License & Survey

License #:
770124H

Initial License Date:
02/15/2021

Current License Date:
01/01/2024

Renewal Cycle:
364

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/30/2024

Months Since Last Survey:
38

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1450 NW 114th Street

City:
Clive

State:
Iowa

Zip:
50325-7030

Phone:
(515) 553-6179

Fax:
(515) 553-6250

URL:
http://www.clivebehavioral.com

Administrator/License #:
Kevin Pettit /

Administrator Email:
kevin.pettit@uhsinc.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found