| La Clinica Medica Latina Of Des Moines Llc | |
|
1300 Des Moines St Suite 106 Des Moines IA 50309-5502 | |
| (515) 265-8200 | |
| (515) 262-0045 |
| Full Name | La Clinica Medica Latina Of Des Moines Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1300 Des Moines St, Des Moines, Iowa |
| Authorized Official Name and Position | Ava Eagles (CLINIC OPERATIONS MGR CO OWNER) |
| Authorized Official Contact | 5152658200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Medica Latina Of Des Moines Llc 2213 Grand Ave Des Moines IA 50312-5305 Ph: (515) 237-3974 | La Clinica Medica Latina Of Des Moines Llc 1300 Des Moines St Suite 106 Des Moines IA 50309-5502 Ph: (515) 265-8200 |
| NPI Number | 1306965348 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306965348 | NPI | - | NPPES |
| DN6229 | Other | IA | RAILROAD MEDICARE |
| 0785931 | Medicaid | IA | |
| 0785956 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25966 (Iowa) | Secondary |
| 363L00000X | Nurse Practitioner | A098023 (Iowa) | Primary |
Critical Care Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 University Ave, Des Moines, IA 50314 Phone: 515-875-4000 Fax: 515-875-4005 | |
Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Porter Ave, Des Moines, IA 50315 Phone: 515-248-1500 Fax: 515-248-1510 | |
Joincareteam, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 6th Ave Ste 901, Des Moines, IA 50309 Phone: 800-946-9143 | |
Caremore Medical Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1530 E Euclid Ave, Des Moines, IA 50313 Phone: 562-741-4470 Fax: 562-741-4479 | |
Primary Health Care At Scavo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Grand Ave, Des Moines, IA 50309 Phone: 515-242-8488 Fax: 515-242-8489 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3839 Merle Hay Rd Ste 120, Des Moines, IA 50310 Phone: 800-993-8244 | |
Cic Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw 114th St, Ste 347, Des Moines, IA 50325 Phone: 515-224-1777 Fax: 515-225-6750 |