BROADLAWNS MEDICAL CENTER (NPI# 1063795672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063795672 |
Entity Type | Organization |
Organization Name | BROADLAWNS MEDICAL CENTER |
Practice Address |
1801 Hickman Rd Des Moines IA 50314-1505 |
Mailing Address |
3604 Rollins Ave Des Moines IA 50312-3239 |
Practice Telephone | 5152825730 |
Mailing Telephone | 5156690477 |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |
Authorized Official Name | SHANNON JO WESTBROOK (SOCIAL WORKER) |
Authorized Official Telephone | 5152825730 |
Authorized Official Credential | LMSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | 007581 | IA | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609951144 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1812 Oakland Ave, Des Moines, IA 50314-3329 | 2006-10-25 |
1336224872 | Broadlawns Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1730 Arlington Ave, Des Moines, IA 50314-3311 | 2006-10-25 |
1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
1467850727 | Broadlawns Medical Center | Clinic/Center | 507 14th St, Dallas Center, IA 50063-7738 | 2014-12-18 |
1235541434 | Broadlawns Medical Center | Eyewear Supplier (Equipment, not the service) | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2014-05-22 |
1669784104 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314 | 2010-07-13 |
1265683718 | Broadlawns Medical Center | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-10-02 |
1962662379 | Broadlawns Medical Center | Psychologist | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-06-10 |
1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
1619184686 | Broadlawns Medical Center | Community/Behavioral Health | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2007-05-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | BROADLAWNS MEDICAL CENTER FOUNDATION | Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314 |
Street Address |
1801 HICKMAN RD |
City | DES MOINES |
State | IA |
Zip Code | 50314-1505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235136581 | Dapka Nicholas Baccam | Surgery | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-07-01 |
1154920221 | Valerie Meyer | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-10-20 |
1437766995 | Sue Ann Mckernan | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-09-29 |
1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
1265043087 | Andrew Stessman | Pharmacist | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-08-14 |
1801405832 | Sarah Hiemer | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-07-27 |
1306461496 | Paul Schroeder | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-15 |
1548885791 | Walter Mogeni | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
1811512064 | Adrianna Denise Mitchell | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1597 | 2020-06-13 |
1639794803 | Thomas David Biederman | Family Medicine | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-06-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
Find all providers in zip 50314 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
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1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
1831720556 | Sbh-davenport, LLC | Psychiatric Hospital | 770 Tanglefoot Ln, Bettendorf, IA 52722-1608 | 2020-01-31 |
1467423657 | Mental Health Institute | Psychiatric Hospital | 1200 E Washington St, Mt Pleasant, IA 52641-1804 | 2006-01-27 |
1841279239 | Mental Health Institute | Psychiatric Hospital | 2277 Iowa Ave, Independence, IA 50644-9106 | 2006-01-13 |
1184605826 | Clarinda Mental Health Institute | Psychiatric Hospital | 1800 N 16th St, Clarinda, IA 51632-1165 | 2005-11-09 |
1093713307 | Human Services-cherokee | Psychiatric Hospital | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2005-07-11 |
1134361199 | Mental Health Institute | Psychiatric Hospital | 1200 E Washington St, Mount Pleasant, IA 52641-1804 | 2009-04-06 |
1184874851 | Iowa City Va Medical Center | Psychiatric Hospital | 601 Hwy 6w, Iowa City, IA 52246 | 2008-09-30 |
1659586584 | Human Services Cherokee | Psychiatric Hospital | 1251 W Cedar Loop, Cherokee, IA 51012-1566 | 2007-05-14 |
1013066430 | Mental Health Institute | Psychiatric Hospital | 2277 Iowa Ave, Independence, IA 50644-9106 | 2007-01-09 |
Find all providers with the same taxonomy |
City | DES MOINES |
Zip Code | 50314 |
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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.