Active NPI
Partnership for Progress
- Mental Illness Community Based Residential Treatment Facility
- Atlantic, IA
National Provider Identifier
1104951193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- PARTNERSHIP FOR PROGRESS
- Practice address
- 60191 Willow St
Atlantic, IA 50022-8172 - Phone
- (712) 243-3411
- Fax
- (712) 243-6716
- NPI assigned
- Feb 22, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Butler
- Title
- Ceo
- Phone
- (712) 243-3411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
60191 Willow St
Atlantic, IA 50022-8172
Mailing address
60191 Willow St
Atlantic, IA 50022-8172
Phone (712) 243-3411
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0426270 | Medicaid | IA | |
| 1426270 | Medicaid | IA | |
| 1229294 | Medicaid | IA | |
| 0896712 | Medicaid | IA | |
| 0229294 | Medicaid | IA | |
| 0740159 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
60191 Willow St
Atlantic, IA 50022
Phone (712) 243-3411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Atlantic, IA
- NPI 1225128127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104951193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60191 WILLOW ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500228172",
"telephone_number": "712-243-3411",
"fax_number": "712-243-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60191 WILLOW ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500228172",
"telephone_number": "712-243-3411",
"fax_number": "712-243-6716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERSHIP FOR PROGRESS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "712-243-3411"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0426270",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1426270",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1229294",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0896712",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0229294",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0740159",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.