OrganizationActive
Rooted Pediatric Healthcare LLC
NPI 1548029390 · Primary Care Clinic/Center · Manchester, IA
Provider details
- NPI number
- 1548029390
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brooke Mactaggart, Pediatric Nurse Practitioner(319) 480-2540
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
105 E Butler St
Manchester, IA 52057-1606
Phone: (319) 480-2540
Approximate (ZIP-level) locationGet directions
Mailing address
715 Anderson St
Manchester, IA 52057-1401
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.