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CENTRAL IOWA HOSPITAL CORPORATION NPI 1104879576


NPI Information

NPI: 1104879576
Provider Name: CENTRAL IOWA HOSPITAL CORPORATION

Doing Business As: EAST DES MOINES FAMILY CARE CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
840 E UNIVERSITY AVE
DES MOINES, IA
ZIP 50316
Phone: (515) 265-4211
Get Directions

CENTRAL IOWA HOSPITAL CORPORATION is a family medicine in Des Moines, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRAL IOWA HOSPITAL CORPORATION NPI is 1104879576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Des Moines Family Care Center.

The provider's business location address is:

840 E UNIVERSITY AVE
DES MOINES, IA
ZIP 50316-304
Phone: (515) 265-4211
Fax: (515) 309-5993

The provider's authorized official is Michael J Dewerff .
The authorized official title is Cfo and has the following contact phone number (515) 241-6507.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineYes
3207V00000XObstetrics & GynecologyNo
42085R0001XRadiologyRadiation OncologyNo
5363LF0000XNurse PractitionerFamilyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10096958MEDICAIDIOWA
2CC7397OTHERIOWARAILROAD MEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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