PRIMARY HEALTH CARE, INC. (NPI# 1871716498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871716498 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH CARE, INC. |
| Other Organization Name | PRIMARY HEALTH CARE AT CENTRAL IOWA SHELTER & SERVICES |
| Practice Address |
1420 Mulberry St Des Moines IA 50309-3618 |
| Mailing Address |
1200 University Ave Suite 200 Des Moines IA 50314-2355 |
| Practice Telephone | 5152845719 |
| Practice Fax Number | 5152481510 |
| Mailing Telephone | 5152481447 |
| Mailing Fax Number | 5152481440 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | KELLY 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 37399 | 01 |
| IA | 0199174 | 05 |
| Other Name | Type Code |
|---|---|
| Primary Health Care at Central Iowa Shelter & Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139158 | Primary Health Care, Inc. | Clinic/Center | 2401 Se 14th St, Des Moines, IA 50320-1111 | 2020-09-16 |
| 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 |
| 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 |
1420 MULBERRY ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-3618 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139158 | Primary Health Care, Inc. | Clinic/Center | 2401 Se 14th St, Des Moines, IA 50320-1111 | 2020-09-16 |
| 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 |
| 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 | 50309 |
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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.