| Restore Health Collaborative PLLC | |
|
1119 E 2nd St Pella IA 50219-1200 | |
| (641) 619-5154 | |
| Not Available |
| Full Name | Restore Health Collaborative PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1119 E 2nd St, Pella, Iowa |
| Authorized Official Name and Position | Charity Carstensen (OWNER) |
| Authorized Official Contact | 6416195154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Health Collaborative PLLC 1119 E 2nd St Pella IA 50219-1200 Ph: (641) 619-5154 | Restore Health Collaborative PLLC 1119 E 2nd St Pella IA 50219-1200 Ph: (641) 619-5154 |
| NPI Number | 1689497141 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 07/01/2026 |
| Certification Date | 07/01/2026 |
| Medicare PECOS PAC ID | 3678098126 |
|---|---|
| Medicare Enrollment ID | O20250417001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689497141 | NPI | - | NPPES |
| 1972808079 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Jamie M Amble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972808079 PECOS PAC ID: 9436332202 Enrollment ID: I20120124000900 |
| Provider Name | Charity D Carstensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881008704 PECOS PAC ID: 2062639891 Enrollment ID: I20140819000112 |
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