BROADLAWNS MEDICAL CENTER (NPI# 1467447508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467447508 |
| Entity Type | Organization |
| Organization Name | BROADLAWNS MEDICAL CENTER |
| Other Organization Name | BROADLAWNS MEDICAL CENTER |
| Practice Address |
1801 Hickman Rd Des Moines IA 50314-1505 |
| Practice Telephone | 5152822200 |
| Practice Fax Number | 5152827823 |
| Mailing Telephone | 5152822200 |
| Mailing Fax Number | 5152827823 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | VINCENT J MANDRACCHIA (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5152822562 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 770032H | IA | Hospital Units |
| Y | 282N00000X | General Acute Care Hospital | 770032H | IA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | AMERICAN PYSCH SYSTMES | 100020 | 01 |
| IA | CONVENTRY HEALTHCARE | 29705 | 01 |
| IA | WELLMARK INST PSYCH | 6S101 | 01 |
| IA | WELLMARK INSTITUTIONAL | 60101 | 01 |
| IA | JOHN DEERE, UHC RIVER VAL | A5031401 | 01 |
| IA | 0265959 | 05 | |
| IA | VALUE OPTIONS | 132198 | 01 |
| IA | 0236471 | 05 | |
| IA | HOSPITAL IOWA CARE NUMBER | 2601013 | 01 |
| IA | AETNA | 6230290 | 01 |
| IA | WELLMARK PROF ED | 26595 | 01 |
| IA | 0601013 | 05 | |
| IA | WELLMARK PROF CLINIC | 28545 | 01 |
| IA | 0432567 | 05 | |
| IA | 0427476 | 05 | |
| IA | TRICARE | 20023 | 01 |
| Other Name | Type Code |
|---|---|
| Broadlawns Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609951144 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
| 1336224872 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1730 Arlington Ave, Des Moines, IA 50314-3311 | 2006-10-25 |
| 1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
| 1467850727 | Broadlawns Medical Center | Clinic/Center | 507 14th St, Dallas Center, IA 50063-7738 | 2014-12-18 |
| 1235541434 | Broadlawns Medical Center | Eyewear Supplier (Equipment, not the service) | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2014-05-22 |
| 1063795672 | Broadlawns Medical Center | Psychiatric Hospital | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2011-09-21 |
| 1669784104 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314 | 2010-07-13 |
| 1265683718 | Broadlawns Medical Center | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-10-02 |
| 1962662379 | Broadlawns Medical Center | Psychologist | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-06-10 |
| 1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BROADLAWNS MEDICAL CENTER FOUNDATION | Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314 |
| Iowa Business Entities | BROADLAWNS MEDICAL CENTER GUILD | 1801 Hickman Road, Des Moines, IA 50314 |
| Street Address |
1801 HICKMAN RD |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136581 | Dapka Nicholas Baccam | Surgery | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-07-01 |
| 1154920221 | Valerie Meyer | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-10-20 |
| 1437766995 | Sue Ann Mckernan | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-09-29 |
| 1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
| 1265043087 | Andrew Stessman | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-08-14 |
| 1801405832 | Sarah Hiemer | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-07-27 |
| 1306461496 | Paul Schroeder | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-15 |
| 1548885791 | Walter Mogeni | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1811512064 | Adrianna Denise Mitchell | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
| 1639794803 | Thomas David Biederman | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124350699 | Va Cihcs | General Acute Care Hospital | 3600 30th St, Des Moines, IA 50310-5753 | 2010-02-08 |
| 1790937977 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St, Des Moines, IA 50310-5753 | 2008-10-21 |
| 1356433049 | Central Iowa Hospital Corporation | General Acute Care Hospital | 700 E University Ave, Des Moines, IA 50316-2302 | 2006-09-29 |
| 1396837951 | Central Iowa Hospital Corporation | General Acute Care Hospital | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-09-29 |
| 1508964883 | Catholic Health Initiatives - Iowa Corp | General Acute Care Hospital | 1111 6th Ave, Des Moines, IA 50314-2610 | 2006-09-20 |
| 1972546661 | Va Central Iowa | General Acute Care Hospital | 3600 30th St, Des Moines, IA 50310-5876 | 2006-06-13 |
| 1184673949 | Omaha Vamc | General Acute Care Hospital | 3600 30th St, Des Moines, IA 50310-5876 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326317538 | Pisipati LLC | General Acute Care Hospital | 550 33rd Ave N, Clinton, IA 52732-1585 | 2011-12-16 |
| 1982914172 | Mary Louise Gallegos | General Acute Care Hospital | 1205 W Us Highway 30, Suite A, Carroll, IA 51401-3364 | 2010-10-21 |
| 1538395975 | Catholic Health Initiatives - Iowa Corp | General Acute Care Hospital | 1755 59th Place, West Des Moines, IA 50266-7737 | 2009-05-29 |
| 1598905762 | Central Iowa Hospital Corporation | General Acute Care Hospital | 1660 60th St, West Des Moines, IA 50266-7700 | 2009-03-02 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1437325107 | Keokuk Area Hospital | General Acute Care Hospital | 1600 Morgan Street, Keokuk, IA 52632-3456 | 2008-05-02 |
| 1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
| 1720126527 | James W Pollard Dds PC | General Acute Care Hospital | 1905 S Marshall St, Boone, IA 50036-5401 | 2007-02-02 |
| 1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
| 1942290432 | Skiff Hospital | General Acute Care Hospital | 5957 Highway F48 W, Newton, IA 50208-9053 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50314 |
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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.