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BROADLAWNS MEDICAL CENTER NPI 1467447508


NPI Information

NPI: 1467447508
Provider Name: BROADLAWNS MEDICAL CENTER

Doing Business As: BROADLAWNS MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1801 HICKMAN RD
DES MOINES, IA
ZIP 50314
Phone: (515) 282-2200
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BROADLAWNS MEDICAL CENTER is a general acute care hospital in Des Moines, IA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. BROADLAWNS MEDICAL CENTER NPI is 1467447508. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadlawns Medical Center.

The provider's business location address is:

1801 HICKMAN RD
DES MOINES, IA
ZIP 50314-505
Phone: (515) 282-2200
Fax: (515) 282-7823

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 9/14/2005 and was last updated on 5/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273R00000XPsychiatric Unit770032HIOWANo
2282N00000XGeneral Acute Care Hospital770032HIOWAYes

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
120023OTHERIOWATRICARE
226595MEDICARE ID-TYPE UNSPECIFIEDIOWAMEDICARE PART B
36S101OTHERIOWAWELLMARK INST PSYCH
40265959MEDICAIDIOWA
5160101MEDICARE OSCAR/CERTIFICATIONIOWA
62601013OTHERIOWAHOSPITAL IOWA CARE NUMBER
760101OTHERIOWAWELLMARK INSTITUTIONAL
829705OTHERIOWACONVENTRY HEALTHCARE
916S101MEDICARE ID-TYPE UNSPECIFIEDIOWAPSYCH
100236471MEDICAIDIOWA
110601013MEDICAIDIOWA
1228545OTHERIOWAWELLMARK PROF CLINIC
130432567MEDICAIDIOWA
146230290OTHERIOWAAETNA
15132198OTHERIOWAVALUE OPTIONS
1626595OTHERIOWAWELLMARK PROF ED
170427476MEDICAIDIOWA
18100020OTHERIOWAAMERICAN PYSCH SYSTMES
19A5031401OTHERIOWAJOHN DEERE, UHC RIVER VAL

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

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