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Contact Information

BROADLAWNS MEDICAL CENTER
1801 HICKMAN RD
DES MOINES, IA50314-1505
 Phone: 515-282-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BROADLAWNS MEDICAL CENTER

NPI # 1962662379
LBN Legal business name BROADLAWNS MEDICAL CENTER
Authorized official VINCENT MANDRACCHIA - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2008
Last updated 03/05/2013 - About 13 years ago
Identifiers
IA License # 4703006
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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