BROADLAWNS MEDICAL CENTER NPI 1467850727

NPI Information

BROADLAWNS MEDICAL CENTER is a rural health clinic center in Dallas Center, IA. BROADLAWNS MEDICAL CENTER NPI is 1467850727. The provider is registered as an organization entity type.
The provider Is Doing Business As Dallas Center Medical Associates.

The provider's business location address is:

507 14TH ST
DALLAS CENTER, IA
ZIP 50063-738
Phone: (515) 992-3711

The provider's authorized official is Karl Vilums .
The authorized official title is Cfo and has the following contact phone number (515) 282-2296.

The CLIA number assigned to this NPI record is 16D2123084 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/18/2014 and was last updated on 12/18/2014.

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:

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