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Contact Information

HEALTHY AGING AND MEMORY CLINIC
1300 50TH STREET
SUITE 104
WEST DES MOINES, IA50266
 Phone: 515-224-4100
 Fax: 515-224-4926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEALTHY AGING AND MEMORY CLINIC

NPI Number 1417044645
LBN Legal business name HEALTHY AGING AND MEMORY CLINIC
Authorized official ROBERT BENDER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2006
Last updated 10/04/2011 - About 15 years ago
Identifiers
IA License # 22610
IA Medicaid 2184259
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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