Provider Demographics
NPI:1598094799
Name:CAREPRO INTEGRATIVE HEALTH CLINIC, INC.
Entity Type:Organization
Organization Name:CAREPRO INTEGRATIVE HEALTH CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-363-4554
Mailing Address - Street 1:402 10TH STREET SE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-2459
Mailing Address - Country:US
Mailing Address - Phone:319-369-9692
Mailing Address - Fax:319-363-4453
Practice Address - Street 1:1350 BLAIRS FERRY RD
Practice Address - Street 2:SUITE C
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1949
Practice Address - Country:US
Practice Address - Phone:319-369-9690
Practice Address - Fax:319-294-5809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center