RESTORE HEALTH COLLABORATIVE PLLC NPI 1689497141

NPI Information

  • NPI: 1689497141
  • Provider Name: RESTORE HEALTH COLLABORATIVE PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 16D2315615
  • Address: 1119 E 2ND ST
    PELLA, IA
    ZIP 50219
  • Phone: (641) 619-5154

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NPI Details

RESTORE HEALTH COLLABORATIVE PLLC is a clinic center in Pella, IA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RESTORE HEALTH COLLABORATIVE PLLC NPI is 1689497141. The provider is registered as an organization entity type.

The provider's business location address is:

1119 E 2ND ST
PELLA, IA
ZIP 50219-200
Phone: (641) 619-5154

The provider's authorized official is Charity Carstensen .
The authorized official title is Owner and has the following contact phone number (641) 619-5154.

The CLIA number assigned to this NPI record is 16D2315615 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2024 and was last updated on 3/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes
2363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11972808079MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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