Basic Information
| Provider Information | |||||||||
| NPI: | 1194256453 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COMMUNITY HEALTH PARTNERS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6601 WESTOWN PKWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | WEST DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 502667733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5155129225 | ||||||||
| FaxNumber: | 5155129186 | ||||||||
| Practice Location | |||||||||
| Address1: | 6601 WESTOWN PKWY | ||||||||
| Address2: | STE 200 | ||||||||
| City: | WEST DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50266 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152432057 | ||||||||
| FaxNumber: | 5152445570 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2017 | ||||||||
| LastUpdateDate: | 12/06/2018 | ||||||||
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| AuthorizedOfficialLastName: | ALLARD | ||||||||
| AuthorizedOfficialFirstName: | RENEE | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEDICAL OFFICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 5155129225 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | N | 193200000X MULTI-SPECIALTY GROUP | Dietary & Nutritional Service Providers | Dietitian, Registered | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.