Family Tree Associates, Llc

LBN: Family Tree Associates, Llc
Family Tree Associates, Llc is an health care organization with primary practice located at 1125 W 4Th St , Waterloo IA 50702-2845. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Family Tree Associates, Llc can be contacted via phone (319) 287-5516, or through Spears, Rita M. via phone (319) 269-4051.

Contact Information

Primary practice address
1125 W 4Th St Waterloo IA 50702-2845
Phone: (319) 287-5516
Fax: (319) 226-5260
Website:
Map and Directions
Authorized official contact:
Name: Spears, Rita M. MSW
Phone: (319) 269-4051

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 29-07-019 Iowa

Profile Details

NPI number 1336357557
LBN Legal business name Family Tree Associates, Llc
DBA Doing business as
Authorized official Spears, Rita M. MSW
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336357557 NPPES
Iowa MEDICAID 1011379
Iowa Other 29-07-019

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