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PRIMARYCARE HOUSECALLS PC NPI 1861864605


NPI Information

NPI: 1861864605
Provider Name: PRIMARYCARE HOUSECALLS PC

Doing Business As: PRIMARY CARE MANAGEMENT SEVICES LLC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 28D2107418

Address:
400 E COURT AVE
DES MOINES, IA
ZIP 50309
Phone: (507) 235-9334
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PRIMARYCARE HOUSECALLS PC is a primary care clinic center in Des Moines, IA. PRIMARYCARE HOUSECALLS PC NPI is 1861864605. The provider is registered as an organization entity type.
The provider Is Doing Business As Primary Care Management Sevices Llc.

The provider's business location address is:

400 E COURT AVE
DES MOINES, IA
ZIP 50309-027
Phone: (507) 235-9334

The provider's authorized official is Carolyn J Drevlow .
The authorized official title is President and has the following contact phone number (507) 235-9334.

The CLIA number assigned to this NPI record is 28D2107418 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2015 and was last updated on 10/20/2015.


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
1261QP2300XClinic/CenterPrimary CareYes

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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