Provider Demographics
NPI:1407477839
Name:COMMUNITY HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:COMMUNITY HEALTH PARTNERS, LLC
Other - Org Name:COMMUNITY HEALTH PARTNERS 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-512-9225
Mailing Address - Street 1:6601 WESTOWN PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-7733
Mailing Address - Country:US
Mailing Address - Phone:515-512-9225
Mailing Address - Fax:515-512-9186
Practice Address - Street 1:1450 SW VINTAGE PKWY
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7165
Practice Address - Country:US
Practice Address - Phone:515-512-9225
Practice Address - Fax:515-512-9186
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH PARTNERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA24742Medicaid