PRIMARY HEALTH CARE, INC. (NPI# 1316379845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316379845 |
Entity Type | Organization |
Organization Name | PRIMARY HEALTH CARE, INC. |
Other Organization Name | PRIMARY HEALTH CARE AT MERCY |
Practice Address |
250 Laurel St Des Moines IA 50314-3024 |
Mailing Address |
1200 University Ave Suite 200 Des Moines IA 50314-2355 |
Practice Telephone | 5156434610 |
Practice Fax Number | 5156434662 |
Mailing Telephone | 5152481447 |
Mailing Fax Number | 5152481440 |
Enumeration Date | 2013-08-07 |
Last Update Date | 2016-09-27 |
Authorized Official Name | KELLY HUNTSMAN (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 5152481441 |
Is Organization Subpart | N |
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 Name | Type Code |
---|---|
Primary Health Care at Mercy | Doing Business As Name - Organization |
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 |
1275656787 | Primary Health Care, Inc. | Clinic/Center | 918 Se 11th St, Des Moines, IA 50309-5324 | 2007-04-09 |
Street Address |
250 LAUREL ST |
City | DES MOINES |
State | IA |
Zip Code | 50314-3024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508825233 | Sharon Bertroche | Family Medicine | 250 Laurel St, Des Moines, IA 50314-3024 | 2006-03-21 |
1972929263 | Mercy Clinics, Inc | Family Medicine | 250 Laurel St, Des Moines, IA 50314-3024 | 2014-03-11 |
1215377684 | Bulland Zaman | Family Medicine | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-07-01 |
1467890988 | Kristin Gisselman | Family Medicine | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-06-06 |
1275875502 | Catholic Health Initiatives - Iowa Corp | Nurse Practitioner | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-03-25 |
1881959971 | Devi Dunker | Family Medicine | 250 Laurel St, Des Moines, IA 50314-3024 | 2012-07-05 |
1811212202 | Trevor Lynn Bond | Family Medicine | 250 Laurel St, Des Moines, IA 50314-3024 | 2010-03-29 |
1205068046 | Hong Lin | Student in an Organized Health Care Education/Training Program | 250 Laurel St, Des Moines, IA 50314-3024 | 2009-08-12 |
1780813808 | Nader Sam | Student in an Organized Health Care Education/Training Program | 250 Laurel St, Des Moines, IA 50314-3024 | 2009-07-10 |
1841454659 | Maureen Tacke | Family Medicine | 250 Laurel St, Des Moines, IA 50314-3024 | 2008-07-11 |
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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
1477807261 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 201, Des Moines, WA 98198 | 2012-11-01 |
1275656787 | Primary Health Care, Inc. | Clinic/Center | 918 Se 11th St, Des Moines, IA 50309-5324 | 2007-04-09 |
Find all providers in DES MOINES |
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.