Broadlawns Medical Center | |
1801 Hickman Rd Des Moines IA 50314-1505 | |
(515) 282-2200 | |
Not Available |
Full Name | Broadlawns Medical Center |
---|---|
Speciality | Psychiatric Unit |
Location | 1801 Hickman Rd, Des Moines, Iowa |
Authorized Official Name and Position | Vincent J Mandracchia (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 5152822562 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broadlawns Medical Center 1801 Hickman Rd Des Moines IA 50314-1505 Ph: (515) 282-2200 | Broadlawns Medical Center 1801 Hickman Rd Des Moines IA 50314-1505 Ph: (515) 282-2200 |
NPI Number | 1962662379 |
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Provider Enumeration Date | 06/10/2008 |
Last Update Date | 03/05/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962662379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
273R00000X | Psychiatric Unit | 4703006 (Iowa) | Primary |
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