PRIMARY HEALTH CARE, INC.


Address: 918 Se 11th St, Des Moines, IA 50309-5324
Phone: 5152829377

PRIMARY HEALTH CARE, INC. (NPI# 1275656787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275656787
Entity Type Organization
Organization Name PRIMARY HEALTH CARE, INC.
Other Organization Name PRIMARY HEALTH CARE AT YOUTH EMERGENCY SHELTER SERVICES
Practice Address 918 Se 11th St
Des Moines
IA 50309-5324
Mailing Address 1200 University Ave
Suite 200
Des Moines
IA 50314-2355
Practice Telephone 5152829377
Practice Fax Number 5152481510
Mailing Telephone 5152481447
Mailing Fax Number 5152481440
Enumeration Date 2007-04-09
Last Update Date 2016-09-23
Authorized Official Name KELLY HUNTSMAN (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 5152481441
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0199125 05
IA WELLMARK BCBS 37399 01

Other Provider/Organization Names

Other Name Type Code
Primary Health Care at Youth Emergency Shelter Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174139158 Primary Health Care, Inc. Clinic/Center 2401 Se 14th St, Des Moines, IA 50320-1111 2020-09-16
1396270831 Primary Health Care, Inc. Clinic/Center 7555 Hickman Rd, Urbandale, IA 50322-4620 2017-04-21
1598204182 Primary Health Care, Inc. Clinic/Center 4800 Aurora Ave, Des Moines, IA 50310-2903 2017-02-16
1871716498 Primary Health Care, Inc. Clinic/Center 1420 Mulberry St, Des Moines, IA 50309-3618 2007-04-11
1083182984 Primary Health Care, Inc. Clinic/Center 704 May St, Marshalltown, IA 50158-3437 2018-11-08
1720539091 Primary Health Care, Inc. Clinic/Center 1200 University Ave, Ste 100, Des Moines, IA 50314-2355 2016-10-20
1083086359 Primary Health Care, Inc. Clinic/Center 1800 Grand Ave, Des Moines, IA 50309-3310 2015-10-27
1003293317 Primary Health Care, Inc. Clinic/Center 112 E Linn St, Marshalltown, IA 50158-2901 2015-05-06
1932539608 Primary Health Care, Inc. Clinic/Center 3510 Lincoln Way, Ames, IA 50014-7533 2013-11-18
1316379845 Primary Health Care, Inc. Clinic/Center 250 Laurel St, Des Moines, IA 50314-3024 2013-08-07

Office Location

Street Address 918 SE 11TH ST
City DES MOINES
State IA
Zip Code 50309-5324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114075561 Youth Emergency Services & Shelter of Iowa Community/Behavioral Health 918 Se 11th St, Des Moines, IA 50309-5324 2007-01-08
1740775568 Melissa Reyerson-slifer Social Worker 918 Se 11th St, Des Moines, IA 50309-5324 2018-06-25
1114411220 Bennett Zielinski Counselor 918 Se 11th St, Des Moines, IA 50309-5324 2018-06-21
1679066039 Allison N Conrad Social Worker 918 Se 11th St, Des Moines, IA 50309-5324 2018-06-11
1932623022 Jacob Stastny Social Worker 918 Se 11th St, Des Moines, IA 50309-5324 2017-07-31
1497102065 Tiffany Schupanitz Counselor 918 Se 11th St, Des Moines, IA 50309-5324 2016-05-24
1265818785 Wendy Hemphill Social Worker 918 Se 11th St, Des Moines, IA 50309-5324 2015-08-06
1568848273 Deena Richelle Leonard Counselor 918 Se 11th St, Des Moines, IA 50309-5324 2015-08-04
1962880765 Alex Piedras Counselor 918 Se 11th St, Des Moines, IA 50309-5324 2015-05-12
1780084939 Marcy Shrum Social Worker 918 Se 11th St, Des Moines, IA 50309-5324 2014-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972126894 Marie Danielle Leblanc Surgery Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 2020-05-27
1538710421 Macy Mckendree Social Worker 918 Se 11th St., Des Moines, IA 50309 2019-09-23
1750938825 Paradocs Psychological Services Clinic/Center 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 2019-08-22
1003315011 Hyvacs, LLC Durable Medical Equipment & Medical Supplies 215 10th St Ste 110, Des Moines, IA 50309 2018-02-05
1770005746 Jacob Michael Boyle Chiropractor 500 Sw 7th St Ste 205, Des Moines, IA 50309 2017-07-12
1831646140 Innovative Transport Enterprise, LLC Non-emergency Medical Transport (VAN) 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 2016-09-02
1457807000 Patricia Bularzik Social Worker 808 5th Avenue, Des Moines, IA 50309 2016-09-01
1396128492 Sarah Lynn Cavan Social Worker 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 2015-07-07
1104204056 Andrea Lynn Jones Social Worker 600 E Court Ste 200, Des Moines, IA 50309 2015-05-12
1811388937 Matthew Zirretta Physical Therapist 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 2015-02-11
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174139158 Primary Health Care, Inc. Clinic/Center 2401 Se 14th St, Des Moines, IA 50320-1111 2020-09-16
1598204182 Primary Health Care, Inc. Clinic/Center 4800 Aurora Ave, Des Moines, IA 50310-2903 2017-02-16
1922351527 Healthpoint Clinic/Center 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 2012-10-19
1326316142 Sea-mar Community Health Center Clinic/Center 2781 S 242nd St, Des Moines, WA 98198 2011-12-07
1871716498 Primary Health Care, Inc. Clinic/Center 1420 Mulberry St, Des Moines, IA 50309-3618 2007-04-11
1679012488 Sea-mar Community Health Center Clinic/Center 2781 S 242nd St, Des Moines, WA 98198-5166 2017-02-14
1720539091 Primary Health Care, Inc. Clinic/Center 1200 University Ave, Ste 100, Des Moines, IA 50314-2355 2016-10-20
1083086359 Primary Health Care, Inc. Clinic/Center 1800 Grand Ave, Des Moines, IA 50309-3310 2015-10-27
1316379845 Primary Health Care, Inc. Clinic/Center 250 Laurel St, Des Moines, IA 50314-3024 2013-08-07
1477807261 Healthpoint Clinic/Center 26401 Pacific Hwy S., Suite 201, Des Moines, WA 98198 2012-11-01
Find all providers in DES MOINES

Competitor

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City DES MOINES
Zip Code 50309

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Dataset Information

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.

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