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CITY FAMILY CLINIC PLC NPI 1669425625


NPI Information

NPI: 1669425625
Provider Name: CITY FAMILY CLINIC PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D1031770

Address:
6401 DOUGLAS AVE
SUITE 10
DES MOINES, IA
ZIP 50322
Phone: (515) 276-8800
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CITY FAMILY CLINIC PLC 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. CITY FAMILY CLINIC PLC NPI is 1669425625. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6401 DOUGLAS AVE
SUITE 10
DES MOINES, IA
ZIP 50322-350
Phone: (515) 276-8800
Fax: (515) 276-8810

The provider's authorized official is Jason Chinwe Nkem Ekwena .
The authorized official title is President And Ceo and has the following contact phone number (515) 276-8800.

The CLIA number assigned to this NPI record is 16D1031770 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/24/2007.


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
1207Q00000XFamily MedicineIOWAYes

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
10443960MEDICAIDIOWA
2I12860MEDICARE PINIOWA

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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