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918 Se 11th St Des Moines IA 50309-5324 | |
| (515) 282-9377 | |
| (515) 248-1510 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 918 Se 11th St, Des Moines, Iowa |
| Authorized Official Name and Position | Kelly Huntsman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5152481441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1200 University Ave Suite 200 Des Moines IA 50314-2355 Ph: (515) 248-1447 | 918 Se 11th St Des Moines IA 50309-5324 Ph: (515) 282-9377 |
| NPI Number | 1275656787 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275656787 | NPI | - | NPPES |
| 37399 | Other | IA | WELLMARK BCBS |
| 0199125 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |