Healthcare Provider Details

I. General information

NPI: 1619806676
Provider Name (Legal Business Name): FAMILY ADVOCATE & NAVIGATOR OF SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 N DOWNEY ST
WEST BRANCH IA
52358-8667
US

IV. Provider business mailing address

135 N DOWNEY ST
WEST BRANCH IA
52358-8667
US

V. Phone/Fax

Practice location:
  • Phone: 319-594-6060
  • Fax:
Mailing address:
  • Phone: 319-594-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CHRIS BUSHMAN
Title or Position: DIRECTOR
Credential:
Phone: 319-594-6060