Provider Type Icon

BROADLAWNS MEDICAL CENTER NPI 1528182615


NPI Information

NPI: 1528182615
Provider Name: BROADLAWNS MEDICAL CENTER

Other Name: BROADLAWNS MEDICAL CENTER EMERGENCY DEPARTMENT

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1801 HICKMAN ROAD
DES MOINES, IA
ZIP 50314
Phone: (515) 282-2200
Get Directions

BROADLAWNS MEDICAL CENTER is an emergency medicine in Des Moines, IA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. BROADLAWNS MEDICAL CENTER NPI is 1528182615. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Broadlawns Medical Center Emergency Department.

The provider's business location address is:

1801 HICKMAN ROAD
DES MOINES, IA
ZIP 50314-548
Phone: (515) 282-2200

The provider's authorized official is Vincent J Mandracchia .
The authorized official title is Chief Medical Officer and has the following contact phone number (515) 282-2562.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/22/2020.


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
1207P00000XEmergency Medicine26518IOWAYes

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
1A5031401OTHERIOWAJOHN DEERE, UHC RIVER VAL
26230290OTHERIOWAAETNA
329705OTHERIOWACOVENTRY
40427476MEDICAIDIOWA
520023OTHERIOWATRICARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.