MINE (NPI# 1760916779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760916779 |
| Entity Type | Organization |
| Organization Name | MINE |
| Other Organization Name | SELF |
| Practice Address |
2 Sw 9th St 316 Des Moines IA 50309-4310 |
| Mailing Address |
2 S.w. 9th Street 316 Des Moines IA 50309-1234 |
| Practice Telephone | 5157299350 |
| Mailing Telephone | 5157299350 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | MR. ROBERT DEAN FORKNER III (MYSELF) |
| Authorized Official Telephone | 5157299350 |
| Authorized Official Credential | UI |
| Is Organization Subpart | Y |
| Parent Organization Name | YTUKJTYKJT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 483062595 | IA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 483062595 | 05 |
| Other Name | Type Code |
|---|---|
| SELF | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Mine & Explosive Detection Angel Paws Retirement Rescue | 311 Church Point Lane, Colonial Beach, Virginia 22443 |
| Alabama Business Registrations | Mine 2 Yours, LLC | 2364 S Hwy 231, Ozark, AL 36360 |
| Ohio Business Entities | MINE A. KURTAY, INC. | 26151 Lakeshore Blvd., Euclid, OH 44132 |
| Oregon Corporations, Companies and Business Names | MINE ACTION RESOURCES | 1745 Nw Steidl Rd Unit 1, Bend, OR 97703 |
| Colorado Business Entities | MINE ADVISORY, LLC | 1660 Lincoln Street, Suite 1420, Denver, CO 80264 |
| Colorado Business Entities | Mine Aligned LLC | 327 South 6th St, Victoria, CO 80860 |
| North Carolina Corporations | MINE AND HERS LLC | 400 Hillandale Drive, Raleigh, NC 27609 |
| Oregon Corporations, Companies and Business Names | MINE AND MIMS LLC | 5532 Se Center, Portland, OR 97206 |
| New York State Corporations | MINE AND YOURS CHILDCARE LLC | 41 State Street, Suite 112, Albany, Ny 12207 |
| Colorado Business Entities | Mine Auto Detail & Transport LLC | 2248 S Jason, Denver, CO 80223 |
| Street Address |
2 SW 9TH ST 316 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414279 | Aetna Health of Iowa Inc. | Health Maintenance Organization | 4320 114th St, Urbandale, IA 50322-5408 | 2019-06-05 |
| 1437628468 | Iowa Total Care, Inc | Health Maintenance Organization | 1080 Jordan Creek Parkway, West Des Monies, IA 58026 | 2018-11-20 |
| 1225400096 | Amerigroup Iowa, Inc. | Health Maintenance Organization | 4800 Westown Pkwy Ste 400, West Des Moines, IA 50266-6719 | 2015-10-20 |
| 1336587930 | Best Home Health Care | Health Maintenance Organization | 1119 Brady St, Davenport, IA 52803-5229 | 2013-06-05 |
| 1982041935 | Best Home Care | Health Maintenance Organization | 1902 E. 47th Pl, Davenport, IA 52807 | 2013-05-31 |
| 1942363411 | Dentistry At Somerset, LLP | Health Maintenance Organization | 2720 Stange Rd, Ames, IA 50010-3974 | 2006-12-18 |
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on MINE.
| 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.