Organization Active NPI

Community Alliance Health Partners

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1053008276
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY ALLIANCE HEALTH PARTNERS
Practice address
4001 Leavenworth St
Omaha, NE 68105-1026
Phone
(402) 341-5128
Fax
(402) 505-9849
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dominic Parrish
Title
Cfo
Phone
(402) 341-5128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4001 Leavenworth St
Omaha, NE 68105-1026

Mailing address

7150 Arbor St
Omaha, NE 68106-3063
Phone (402) 341-5128

Other practice location 1

7150 Arbor St
Omaha, NE 68106-3063
Phone (402) 341-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002002022 NE Part B Supplier - Clinic/Group Practice 9739533266 Receives reassigned benefits from 2 practitioners
Practice locations: Omaha, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2052110Community Alliance Health Partners7150 Arbor Street, Omaha, NE 68106Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1053008276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063063",
            "telephone_number": "402-341-5128",
            "fax_number": "402-505-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051026",
            "telephone_number": "402-341-5128",
            "fax_number": "402-505-9849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7150 Arbor St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681063063",
            "country_code": "US",
            "telephone_number": "402-341-5128",
            "fax_number": "402-505-9849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY ALLIANCE HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-341-5128"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.