Organization
PREMIER HEALTH ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN TREASE JANSSEN ED.D., CCC-SLP (PRESIDENT/CEO)
(515) 223-6620
Entity
Organization
Contact information
Practice address
1454 30TH ST, SUITE 103, WEST DES MOINES, IA 50266-1312
(515) 223-6620
(515) 222-3962
Mailing address
1454 30TH ST, SUITE 103, WEST DES MOINES, IA 50266-1312
(515) 223-6620
(515) 222-3962
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665190
—
IA
01
—
66519
WELLMARK BC/BS
IA
01
—
I10279
NORIDIAN MEDICARE PART B
IA
Enumeration date
03/08/2006
Last updated
09/15/2008
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