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1200 University Ave Ste 100 Des Moines IA 50314-2355 | |
(515) 248-1888 | |
(515) 248-1890 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1200 University Ave, Des Moines, Iowa |
Authorized Official Name and Position | Kelly Huntsman (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5152481441 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1200 University Ave Ste 200 Des Moines IA 50314-2355 Ph: (515) 248-1447 | 1200 University Ave Ste 100 Des Moines IA 50314-2355 Ph: (515) 248-1888 |
NPI Number | 1720539091 |
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Provider Enumeration Date | 10/20/2016 |
Last Update Date | 12/27/2016 |
Medicare PECOS PAC ID | 8426966755 |
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Medicare Enrollment ID | O20161214001739 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720539091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |