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NPI Code Detail

MEDICARE: MILLENNIUM REHAB & CONSULTING, INC.

MEDICARE: MILLENNIUM REHAB & CONSULTING, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
166574OTHERIAWELLMARK BC/BS GROUP #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336193986
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENNIUM REHAB & CONSULTING, INC.
Provider Business Mailing Address
First Line : 4725 MERLE HAY RD STE 207
Second Line :
City : DES MOINES
State : IA
Zip : 50322-1983
Country : US
Telephone Number : 515-331-3190
Fax Number : 515-331-3191
Provider Business Practice Location Address
First Line : 2300 SWAN LAKE BLVD
Second Line : SUITE 103
City : INDEPENDENCE
State : IA
Zip : 50644-9708
Country : US
Telephone Number : 319-334-5155
Fax Number : 319-334-6166
Authorized Official
Title or Position : COO
Name : HOLLY LITTLE
Credential :
Telephone Number : 515-331-3190
Provider Enumeration Date : 05/19/2006
Last Update Date : 05/28/2025

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Directions to “MILLENNIUM REHAB & CONSULTING, INC. ” Practice Location

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