BROADLAWNS MEDICAL CENTER (NPI# 1922089002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922089002 |
| Entity Type | Organization |
| Organization Name | BROADLAWNS MEDICAL CENTER |
| Other Organization Name | SANDS MENTAL HEALTH CENTER |
| Practice Address |
1801 Hickman Road Des Moines IA 50314 |
| Practice Telephone | 5152822200 |
| Practice Fax Number | 5152823234 |
| Mailing Telephone | 5152822200 |
| Mailing Fax Number | 5152823234 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-04-03 |
| NPI Deactivation Date | 11/09/2007 |
| NPI Reactivation Date | 2008-04-03 |
| Authorized Official Name | JODY J JENNER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5152822234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | AMERICAN PSYCH SYSTEMS | 10020 | 01 |
| IA | AETNA | 6230290 | 01 |
| IA | JOHN DEERE, UHC RIVER VAL | A5031401 | 01 |
| IA | VALUE OPTIONS | 132198 | 01 |
| IA | 0601013 | 05 | |
| IA | TRICARE | 20023 | 01 |
| IA | COVENTRY | 29705 | 01 |
| Other Name | Type Code |
|---|---|
| Sands Mental Health Center | Other Name - Individual/Organization |
| 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 |
| 1063795672 | Broadlawns Medical Center | Psychiatric Hospital | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2011-09-21 |
| 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 |
| 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 ROAD |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357642 | Roy Alden Hart | Specialist | 1801 Hickman Road, Broadlawns Medical Center, Des Moines, IA 50314 | 2005-06-22 |
| 1932668639 | Rochean Cofield | Social Worker | 1801 Hickman Road, Des Moines, IA 50314-1597 | 2019-03-13 |
| 1487183893 | Alyssa Kate Plouzek | Radiology | 1801 Hickman Road, Des Moines, IA 50314 | 2017-06-08 |
| 1578092839 | Daniel Agraz | Ophthalmology | 1801 Hickman Road, Des Moines, IA 50314 | 2017-06-08 |
| 1801131461 | Meredith Dallas Olson | Nurse Practitioner | 1801 Hickman Road, Des Moines, IA 50314-1597 | 2012-12-06 |
| 1962706168 | Joyce Mischel | Family Medicine | 1801 Hickman Road, Des Moines, IA 50314-1975 | 2011-01-03 |
| 1245466424 | Megan M Norris | Pediatrics | 1801 Hickman Road, Des Moines, IA 50314-1597 | 2009-06-02 |
| 1245495027 | Juliet Anne Bles | Social Worker | 1801 Hickman Road, Broadlawns Medical Center, Des Moines, IA 50314 | 2008-07-22 |
| 1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
| 1306068754 | Broadlawns Medical Center | Anesthesiology | 1801 Hickman Road, Des Moines, IA 50314-1548 | 2007-05-03 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
| 1306901582 | Catholic Health Initiatives Iowa Corp | Psychiatric Unit | 1111 6th Ave, West A, Des Moines, IA 50314-2613 | 2006-12-27 |
| 1033201793 | Central Iowa Hospital Corporation | Psychiatric Unit | 700 E University Ave, Des Moines, IA 50316-2302 | 2006-09-29 |
| 1467447508 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548646029 | Equality Through Community | Psychiatric Unit | 2525 Princeton Rd, Iowa City, IA 52245-3721 | 2015-08-06 |
| 1356743009 | Mary K Corbin | Psychiatric Unit | 826 Rundell St, Iowa City, IA 52240-6254 | 2014-09-24 |
| 1972667731 | Ellsworth Municipal Hospital | Psychiatric Unit | 110 Rocksylvania Ave, Iowa Falls, IA 50126-2431 | 2006-12-19 |
| 1548681091 | Rchp - Ottumwa LLC | Psychiatric Unit | 1001 Pennsylvania Ave, Attn: Facility Ceo, Ottumwa, IA 52501-2186 | 2013-12-31 |
| 1649523580 | Mercy Iowa City | Psychiatric Unit | 500 E Market St, Psychiatry 4 North, Iowa City, IA 52245-2633 | 2012-10-16 |
| 1275803470 | Tms of Iowa, LLC | Psychiatric Unit | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2012-01-04 |
| 1710276183 | Genesis Health System | Psychiatric Unit | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2011-04-06 |
| 1437384799 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2009-05-15 |
| 1821127572 | Mercy Medical Center - Clinton, Inc. | Psychiatric Unit | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-05 |
| 1902943970 | Ottumwa Regional Health Center, Inc | Psychiatric Unit | 312 E Alta Vista Ave, Ottumwa, IA 52501-1413 | 2007-01-31 |
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| 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.