CENTRAL STATES MEDICINE PLLC NPI 1144646787

NPI Information

NPI: 1144646787
Provider Name: CENTRAL STATES MEDICINE, PLLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 16D2084932

Address:
1300 37TH ST
SUITE 3 & 4
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 267-1819
Get Directions

CENTRAL STATES MEDICINE, PLLC is a pain clinic center in West Des Moines, IA. CENTRAL STATES MEDICINE, PLLC NPI is 1144646787. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 37TH ST
SUITE 3 & 4
WEST DES MOINES, IA
ZIP 50266-900
Phone: (515) 267-1819
Fax: (515) 457-9180

The provider's authorized official is Christian Ledet .
The authorized official title is Owner and has the following contact phone number (515) 991-6790.

The CLIA number assigned to this NPI record is 16D2084932 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/6/2014 and was last updated on 10/18/2021.

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	Primary
1	207L00000X	Anesthesiology		No
2	207P00000X	Emergency Medicine		No
3	208VP0000X	Pain Medicine	Pain Medicine	No
4	363L00000X	Nurse Practitioner		No
5	261QP3300X	Clinic/Center	Pain	Yes

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

NPI Synchronization or Removal

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