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Contact Information

BROADLAWNS MEDICAL CENTER
1801 HICKMAN ROAD
DES MOINES, IA50314
 Phone: 515-282-2200
 Fax: 515-282-3234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
Indicates primary specialty

NPI Profile & details for BROADLAWNS MEDICAL CENTER

NPI Number 1922089002
LBN Legal business name BROADLAWNS MEDICAL CENTER
Authorized official JODY JENNER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2005
Last updated 04/03/2008 - About 18 years ago
Identifiers
IA Medicaid 0601013
IA Other 6230290 AETNA
IA Other 10020 AMERICAN PSYCH SYSTEMS
IA Other 29705 COVENTRY
IA Other A5031401 JOHN DEERE, UHC RIVER VAL
IA Other 20023 TRICARE
IA Other 132198 VALUE OPTIONS
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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