Organization · Type 2 NPI

Central Iowa Hospital Corporation

Family Medicine Physician · Des Moines, IA

NPI number 1104879576 Active

Practice location

840 E University Ave
Des Moines, IA 50316-2304

Call (515) 265-4211 Map

Fax (515) 309-5993

Mailing address

5409 NW 88th St, Suite 200
Johnston, IA 50131-2949

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Radiation Oncology Physician	2085R0001X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

48 other providers at this address

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NPI record

NPI: 1104879576
Entity type: Organization (Type 2)
Issued: May 18, 2006
Last updated: Mar 19, 2019
Status: Active
Subpart: Yes of Central Iowa Hospital Corporation

Other names

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East Des Moines Family Care Center · doing business as
East Des Moines Family Care Center · doing business as

Authorized official

Michael J Dewerff
CFO
(515) 241-6507

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104879576

Central Iowa Hospital Corporation's National Provider Identifier is 1104879576, issued on May 18, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Des Moines, IA. The record was last updated on Mar 19, 2019.