Healthcare Provider Details
I. General information
NPI: 1477488724
Provider Name (Legal Business Name): TOTAL HEALTH EXPERIENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7601 OFFICE PLAZA DR N STE 115
WEST DES MOINES IA
50266-2338
US
IV. Provider business mailing address
7601 OFFICE PLAZA DR N STE 115
WEST DES MOINES IA
50266-2338
US
V. Phone/Fax
- Phone: 515-222-0550
- Fax: 515-222-0544
- Phone: 515-222-0550
- Fax: 515-222-0544
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
BROOKS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 515-222-0550