Self

LBN: Mine
Self is an health care organization with primary practice located at 2 Sw 9Th St 316, Des Moines IA 50309-4310. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Mine can be contacted via phone (515) 729-9350, or through Forkner, Robert Dean via phone (515) 729-9350.

Contact Information

Primary practice address
2 Sw 9Th St 316 Des Moines IA 50309-4310
Phone: (515) 729-9350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forkner, Robert Dean UI
Phone: (515) 729-9350

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 483062595 Iowa

Profile Details

NPI number 1760916779
LBN Legal business name Mine
DBA Doing business as Self
Authorized official Forkner, Robert Dean UI
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 17th, 2017
Last updated Apr 17th, 2017 - about 8 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 1760916779 NPPES
Iowa MEDICAID 483062595

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