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BROADLAWNS HOSPITAL NPI 1184080541


NPI Information

NPI: 1184080541
Provider Name: BROADLAWNS HOSPITAL
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 16D0709678

Address:
1801 HICKMAN RD
DES MOINES, IA
ZIP 50314
Phone: (515) 282-2423
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BROADLAWNS HOSPITAL is an addiction (substance use disorder) counselor in Des Moines, IA. BROADLAWNS HOSPITAL NPI is 1184080541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 HICKMAN RD
DES MOINES, IA
ZIP 50314-505
Phone: (515) 282-2423
Fax: (515) 282-7823

The provider's authorized official is Yolanda Colemon .
The authorized official title is Executive Assistant To Cmo and has the following contact phone number (515) 282-2423.

The CLIA number assigned to this NPI record is 16D0709678 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/14/2016 and was last updated on 1/14/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)05104IOWAYes

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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