| Primary Health Care At Hoover/meredith | |
|
4800 Aurora Ave Des Moines IA 50310-2903 | |
| (515) 242-7300 | |
| (515) 248-1510 |
| Full Name | Primary Health Care At Hoover/meredith |
|---|---|
| Speciality | Clinic/Center |
| Location | 4800 Aurora Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Kelly Huntsman (CHIEF EXEUCTIVE OFFICER) |
| Authorized Official Contact | 5152481441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care At Hoover/meredith 1200 University Ave Ste 200 Des Moines IA 50314-2355 Ph: (515) 248-1447 | Primary Health Care At Hoover/meredith 4800 Aurora Ave Des Moines IA 50310-2903 Ph: (515) 242-7300 |
| NPI Number | 1598204182 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 03/27/2017 |
| Medicare PECOS PAC ID | 8426966755 |
|---|---|
| Medicare Enrollment ID | O20170313001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598204182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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