BROADLAWNS MEDICAL CENTER (NPI# 1467850727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467850727 |
Entity Type | Organization |
Organization Name | BROADLAWNS MEDICAL CENTER |
Other Organization Name | DALLAS CENTER MEDICAL ASSOCIATES |
Practice Address |
507 14th St Dallas Center IA 50063-7738 |
Mailing Address |
1801 Hickman Rd Des Moines IA 50314-1505 |
Practice Telephone | 5159923711 |
Mailing Telephone | 5152822296 |
Enumeration Date | 2014-12-18 |
Last Update Date | 2014-12-18 |
Authorized Official Name | KARL VILUMS (CFO) |
Authorized Official Telephone | 5152822296 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Dallas Center Medical Associates | 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 |
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 |
1619184686 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2007-05-17 |
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 |
507 14TH ST |
City | DALLAS CENTER |
State | IA |
Zip Code | 50063-7738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063409779 | Sheri Schroeder | Physician Assistant | 507 14th St, Dallas Center, IA 50063 | 2005-09-29 |
1790086353 | Shelbie Renee Curry | Nurse Practitioner | 507 14th St, Dallas Center, IA 50063-7738 | 2010-11-12 |
1225209042 | Dallas Center Medical Associates PC | Family Medicine | 507 14th St, Dallas Center, IA 50063-7738 | 2008-03-19 |
1134200280 | Jill Schmidt | Nurse Practitioner | 507 14th St, Dallas Center, IA 50063-7738 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386854859 | Mary Echterling | Occupational Therapist | 22263 S. Avenue, Dallas Center, IA 50063 | 2007-05-23 |
1689645368 | Ronald Ray Mchose | Family Medicine | 507 14th Street, Dallas Center, IA 50063 | 2006-01-30 |
1871018556 | Halle Yates | Occupational Therapy Assistant | 1204 Linden St, Dallas Center, IA 50063 | 2017-08-03 |
1841347135 | Dallas Center-grimes Csd | Local Education Agency (LEA) | 1414 Walnut Street, Dallas Center, IA 50063-0512 | 2007-01-05 |
1396391637 | Tanner Canova | Student in an Organized Health Care Education/Training Program | 1704 Maple St, Dallas Center, IA 50063-1020 | 2019-08-13 |
1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
1063029189 | Kacie Ann Schreck | Speech-Language Pathologist | 1204 Linden St, Dallas Center, IA 50063-1052 | 2020-09-24 |
1578052957 | Jacklyn Leann Mccullough | Occupational Therapist | 1204 Linden St, Dallas Center, IA 50063-1052 | 2018-05-01 |
1437554292 | Mary Margaret Nugent | Occupational Therapist | 1204 Linden St, Dallas Center, IA 50063-1052 | 2014-10-22 |
1043629603 | Anna Sullivan | Physical Therapy Assistant | 1204 Linden St, Dallas Center, IA 50063-1052 | 2014-08-07 |
Find all providers in zip 50063 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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Find all providers with the same taxonomy |
City | DALLAS CENTER |
Zip Code | 50063 |
Please comment or provide details below to improve the information on BROADLAWNS MEDICAL CENTER.
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.