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PRIMARY HEALTH CARE INC. NPI 1417005919


NPI Information

NPI: 1417005919
Provider Name: PRIMARY HEALTH CARE, INC.

Doing Business As: PRIMARY HEALTH CARE-UNIVERSITY CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1200 UNIVERSITY AVE
SUITE 120
DES MOINES, IA
ZIP 50314
Phone: (515) 248-1500
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PRIMARY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Des Moines, IA. PRIMARY HEALTH CARE, INC. NPI is 1417005919. The provider is registered as an organization entity type.
The provider Is Doing Business As Primary Health Care-university Clinic.

The provider's business location address is:

1200 UNIVERSITY AVE
SUITE 120
DES MOINES, IA
ZIP 50314-355
Phone: (515) 248-1500
Fax: (515) 248-1510

The provider's authorized official is Kelly Huntsman .
The authorized official title is Chief Executive Officer and has the following contact phone number (515) 248-1441.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/23/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)NAIOWAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I9909MEDICARE PINIOWA
237399OTHERIOWAWELLMARK BCBS
30199109MEDICAIDIOWA
4161807MEDICARE OSCAR/CERTIFICATIONIOWA

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: 5/5/2024
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