BROADLAWNS MEDICAL CENTER; NPI #1669693917

Contact Information

BROADLAWNS MEDICAL CENTER

1801 HICKMAN ROAD
DES MOINES, IA 50314-1548

Phone: 515-282-2200
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BROADLAWNS MEDICAL CENTER

NPI # 1669693917

LBN Legal business name BROADLAWNS MEDICAL CENTER

Authorized official VINCENT MANDRACCHIA - (CHIEF MEDICAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/02/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

IA	License #	000581
IA	Medicaid	0432567
IA	Other	6230290	AETNA
IA	Other	29705	COVENTRY
IA	Other	2601013	IOWA CARE
IA	Other	A5031401	JOHN DEERE, UHC RIVER VAL
IA	Other	20023	TRICARE

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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BROADLAWNS MEDICAL CENTER

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BROADLAWNS MEDICAL CENTER

Reviews for BROADLAWNS MEDICAL CENTER