Healthy Aging And Memory Clinic
LBN: Healthy Aging And Memory Clinic
Healthy Aging And Memory Clinic is an health care organization with primary practice located at 1300 50Th Street Suite 104, West Des Moines IA 50266. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty.
Healthy Aging And Memory Clinic can be contacted via phone (515) 224-4100, or through Bender, Robert L via phone (515) 224-4100.
Contact Information
Primary practice address
1300 50Th Street Suite 104
West Des Moines IA 50266
Phone: (515) 224-4100
Fax: (515) 224-4926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 22610 | Iowa |
Profile Details
| NPI number | 1417044645 |
|---|---|
| LBN Legal business name | Healthy Aging And Memory Clinic |
| DBA Doing business as | |
| Authorized official | Bender, Robert L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Oct 4th, 2011 - about 15 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 | 1417044645 | NPPES |
| Iowa | MEDICAID | 2184259 |
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