| Community Alliance Health Partners | |
|
4001 Leavenworth St Omaha NE 68105-1026 | |
| (402) 341-5128 | |
| (402) 505-9849 |
| Full Name | Community Alliance Health Partners |
|---|---|
| Speciality | Family Medicine |
| Location | 4001 Leavenworth St, Omaha, Nebraska |
| Authorized Official Name and Position | Dominic Parrish (CFO) |
| Authorized Official Contact | 4023415128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Alliance Health Partners 4001 Leavenworth St Omaha NE 68105-1026 Ph: (402) 341-5128 | Community Alliance Health Partners 4001 Leavenworth St Omaha NE 68105-1026 Ph: (402) 341-5128 |
| NPI Number | 1053008276 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 9739533266 |
|---|---|
| Medicare Enrollment ID | O20231002002022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053008276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John Brady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346241197 PECOS PAC ID: 4284626516 Enrollment ID: I20120413000608 |
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