Provider Demographics
NPI:1629882378
Name:COMPREHENSIVE HEALTH ASSOCIATES
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:WROBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:986-777-0329
Mailing Address - Street 1:4822 N ROSEPOINT WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-0944
Mailing Address - Country:US
Mailing Address - Phone:986-777-0329
Mailing Address - Fax:208-453-6447
Practice Address - Street 1:4822 N ROSEPOINT WAY STE 101
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-0944
Practice Address - Country:US
Practice Address - Phone:986-777-0329
Practice Address - Fax:208-453-6447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service