La Clinica Medica Latina Of Des Moines Llc

LBN: La Clinica Medica Latina Of Des Moines Llc
La Clinica Medica Latina Of Des Moines Llc is an health care organization with primary practice located at 1300 Des Moines St Suite 106, Des Moines IA 50309-5502. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty. La Clinica Medica Latina Of Des Moines Llc can be contacted via phone (515) 265-8200, or through Eagles, Ava via phone (515) 265-8200.

Contact Information

Primary practice address
1300 Des Moines St Suite 106 Des Moines IA 50309-5502
Phone: (515) 265-8200
Fax: (515) 262-0045
Website:
Map and Directions
Authorized official contact:
Name: Eagles, Ava ARNP
Phone: (515) 265-8200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25966 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A098023 Iowa

Profile Details

NPI number 1306965348
LBN Legal business name La Clinica Medica Latina Of Des Moines Llc
DBA Doing business as
Authorized official Eagles, Ava ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Mar 23rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306965348 NPPES
Iowa Other DN6229 RAILROAD MEDICARE
Iowa MEDICAID 0785931 RAILROAD MEDICARE
Iowa MEDICAID 0785956 RAILROAD MEDICARE

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