Broadlawns Medical Center
LBN: Broadlawns Medical Center
Broadlawns Medical Center is an health care organization with primary practice located at 1801 Hickman Road , Des Moines IA 50314-1548. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Broadlawns Medical Center can be contacted via phone (515) 282-2200, or through Mandracchia, Vincent J via phone (515) 282-2562.
Contact Information
Primary practice address
1801 Hickman Road
Des Moines IA 50314-1548
Phone: (515) 282-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 000581 | Iowa |
Profile Details
| NPI number | 1669693917 |
|---|---|
| LBN Legal business name | Broadlawns Medical Center |
| DBA Doing business as | |
| Authorized official | Mandracchia, Vincent J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669693917 | NPPES |
| Iowa | Other | 20023 | TRICARE |
| Iowa | Other | 2601013 | TRICARE |
| Iowa | Other | 6230290 | TRICARE |
| Iowa | Other | A5031401 | TRICARE |
| Iowa | Other | 29705 | TRICARE |
| Iowa | MEDICAID | 0432567 | TRICARE |
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