PRIMARY HEALTH CARE, INC. (NPI# 1174139158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174139158 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH CARE, INC. |
| Practice Address |
2401 Se 14th St Des Moines IA 50320-1111 |
| Mailing Address |
1200 University Ave Ste 200 Des Moines IA 50314-2355 |
| Practice Telephone | 5153364604 |
| Practice Fax Number | 5152481414 |
| Mailing Telephone | 5152481447 |
| Mailing Fax Number | 5152481440 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | KELLY ANN HUNTSMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5152481441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Primary Health Care-South Side Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396270831 | Primary Health Care, Inc. | Clinic/Center | 7555 Hickman Rd, Urbandale, IA 50322-4620 | 2017-04-21 |
| 1598204182 | Primary Health Care, Inc. | Clinic/Center | 4800 Aurora Ave, Des Moines, IA 50310-2903 | 2017-02-16 |
| 1871716498 | Primary Health Care, Inc. | Clinic/Center | 1420 Mulberry St, Des Moines, IA 50309-3618 | 2007-04-11 |
| 1083182984 | Primary Health Care, Inc. | Clinic/Center | 704 May St, Marshalltown, IA 50158-3437 | 2018-11-08 |
| 1720539091 | Primary Health Care, Inc. | Clinic/Center | 1200 University Ave, Ste 100, Des Moines, IA 50314-2355 | 2016-10-20 |
| 1083086359 | Primary Health Care, Inc. | Clinic/Center | 1800 Grand Ave, Des Moines, IA 50309-3310 | 2015-10-27 |
| 1003293317 | Primary Health Care, Inc. | Clinic/Center | 112 E Linn St, Marshalltown, IA 50158-2901 | 2015-05-06 |
| 1932539608 | Primary Health Care, Inc. | Clinic/Center | 3510 Lincoln Way, Ames, IA 50014-7533 | 2013-11-18 |
| 1316379845 | Primary Health Care, Inc. | Clinic/Center | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-08-07 |
| 1275656787 | Primary Health Care, Inc. | Clinic/Center | 918 Se 11th St, Des Moines, IA 50309-5324 | 2007-04-09 |
| Street Address |
2401 SE 14TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50320-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694272 | Riverwoods Terrace, LLC | Assisted Living Facility | 2210 East Park Avenue, Des Moines, IA 50320 | 2014-06-12 |
| 1437205663 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6351 S.e. 14th, Des Moines, IA 50320 | 2007-01-29 |
| 1922584127 | Alyssa Happe | Registered Nurse | 2353 Se 14th St, Des Moines, IA 50320 | 2018-07-11 |
| 1023491206 | April Winters | Family Medicine | 2353 Se 14th St, Des Moines, IA 50320 | 2015-07-07 |
| 1063691962 | Keith A Colwell Dds PC | Dentist | 6057 Se 14th St, Des Moines, IA 50320 | 2007-10-26 |
| 1528110467 | Mosaic | Intermediate Care Facility, Mentally Retarded | 3206 Se 20th Street, Des Moines, IA 50320-0000 | 2007-01-18 |
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1841286804 | Courtney Gillis Palmer | Social Worker | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2005-09-26 |
| 1205495413 | Elizabeth Pfaff Thompson | Physician Assistant | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-06-11 |
| 1922563063 | Brooke Aletta Raney | Nurse Practitioner | 2353 Se 14th St, Des Moines, IA 50320-1109 | 2019-02-03 |
| Find all providers in zip 50320 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598204182 | Primary Health Care, Inc. | Clinic/Center | 4800 Aurora Ave, Des Moines, IA 50310-2903 | 2017-02-16 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1871716498 | Primary Health Care, Inc. | Clinic/Center | 1420 Mulberry St, Des Moines, IA 50309-3618 | 2007-04-11 |
| 1679012488 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2017-02-14 |
| 1720539091 | Primary Health Care, Inc. | Clinic/Center | 1200 University Ave, Ste 100, Des Moines, IA 50314-2355 | 2016-10-20 |
| 1083086359 | Primary Health Care, Inc. | Clinic/Center | 1800 Grand Ave, Des Moines, IA 50309-3310 | 2015-10-27 |
| 1316379845 | Primary Health Care, Inc. | Clinic/Center | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-08-07 |
| 1477807261 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 201, Des Moines, WA 98198 | 2012-11-01 |
| 1275656787 | Primary Health Care, Inc. | Clinic/Center | 918 Se 11th St, Des Moines, IA 50309-5324 | 2007-04-09 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50320 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.