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1750 48th St Suite 1 Des Moines IA 50310-1988 | |
| (515) 271-6333 | |
| (515) 271-6175 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1750 48th St, Des Moines, Iowa |
| Authorized Official Name and Position | Bradley Whipple (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5153586956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 271-6333 | 1750 48th St Suite 1 Des Moines IA 50310-1988 Ph: (515) 271-6333 |
| NPI Number | 1710903364 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710903364 | NPI | - | NPPES |
| CD3776 | Other | IA | RAILROAD MEDICARE |
| 0114983 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | 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 | |
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 | |