NPIMap

Organization Active NPI

Central Iowa Hospital Corporation

  • Pharmacy
  • Des Moines, IA
National Provider Identifier
1003352949
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1591 Issued in IA
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Practice address
1200 Pleasant St
Des Moines, IA 50309-1406
Phone
(515) 241-5936
Fax
(515) 241-5925
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Boord
Title
Pharmacy Operations Manager
Phone
(515) 241-5942

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1591 IA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1200 Pleasant St
Des Moines, IA 50309-1406

Mailing address

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-5942

Other identifiers 1

IdentifierTypeStateIssuer
2166700OtherPK

Other names 1

  • IMMC Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191030003638 IA DME Supplier - Pharmacy 1052229275 Practice locations: Des Moines, IA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Immc Outpatient Pharmacy1200 Pleasant St, Des Moines, IA 50309-1406(515) 241-5936 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
Methodist Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations (25 of 51)

1504 8th St SW
Altoona, IA 50009
Phone (515) 967-0133

2701 SE Convenience Blvd
Ste 8
Ankeny, IA 50021
Phone (515) 963-7924

3625 N Ankeny Blvd
Ste K
Ankeny, IA 50023
Phone (515) 965-4681

1105 N Ankeny Blvd
Ankeny, IA 50023
Phone (515) 255-8399

2515 SW State St
Ste 200
Ankeny, IA 50023
Phone (515) 964-6999

1221 Pleasant St
Ste 250
Des Moines, IA 50309
Phone (515) 241-4674

1301 Pennsylvania Ave
Ste 303
Des Moines, IA 50316
Phone (515) 263-5612

4020 Merle Hay Rd
Ste 200
Des Moines, IA 50310
Phone (515) 278-8444

1301 Pennsylvania Ave
Ste 308
Des Moines, IA 50316
Phone (515) 263-3732

1221 Pleasant St
Ste 430
Des Moines, IA 50309
Phone (515) 241-4099

3116 Carpenter Ave
Des Moines, IA 50311
Phone (515) 271-3731

1215 Pleasant St
Ste 306
Des Moines, IA 50309
Phone (515) 241-4392

4631 Merle Hay Rd
Lowr
Des Moines, IA 50322
Phone (515) 278-8444

1215 Pleasant St
Ste 514
Des Moines, IA 50309
Phone (515) 241-8912

1212 Pleasant St
Ste LL9
Des Moines, IA 50309
Phone (515) 241-8878

3401 E Douglas Ave
Des Moines, IA 50317
Phone (515) 557-3111

1800 Grand Ave
Rm 142
Des Moines, IA 50309
Phone (515) 242-7246

1221 Pleasant St
Ste A100
Des Moines, IA 50309
Phone (515) 241-4330

233 University Ave
Des Moines, IA 50314
Phone (515) 284-1280

1415 Woodland Ave
Ste 238
Des Moines, IA 50309
Phone (515) 241-5811

1301 Pennsylvania Ave
Ste 306
Des Moines, IA 50316
Phone (515) 263-5143

1221 Pleasant St
#A170
Des Moines, IA 50309
Phone (515) 241-4373

1221 Pleasant St
Ste 470
Des Moines, IA 50309
Phone (515) 241-4099

1212 Pleasant St
Ste LL3
Des Moines, IA 50309
Phone (515) 241-8861

1221 Pleasant St
Ste 410
Des Moines, IA 50309
Phone (515) 241-4607

Ownership & related parties

All facility ownership & control disclosures 27

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Guthrie County HospitalGuthrie Center, IA, CCN 161314 Hospital Operational/Managerial Control Jan 1, 2014
Clarke County HospitalOsceola, IA, CCN 161348 Hospital Operational/Managerial Control Dec 1, 1987
Lucas County Health CenterChariton, IA, CCN 161341 Hospital Operational/Managerial Control Sep 1, 2015
Guthrie County HospitalGuthrie Center, IA, CCN 16Z314 Hospital Operational/Managerial Control Jan 1, 2014
Clarke County HospitalOsceola, IA, CCN 16Z348 Hospital Operational/Managerial Control Dec 1, 1987
Greater Regional Medical CenterCreston, IA, CCN 161365 Hospital Operational/Managerial Control Jul 1, 2017
Greater Regional Medical CenterCreston, IA, CCN 16Z365 Hospital Operational/Managerial Control Jul 1, 2017
Lucas County Health CenterChariton, IA, CCN 16Z341 Hospital Operational/Managerial Control Sep 1, 2015
Greene County Medical CenterJefferson, IA, CCN 161325 Hospital Operational/Managerial Control Jul 1, 2011
Unitypoint Health Des Moines Iowa Methodist Medical CenterDes Moines, IA, CCN 160082 Hospital Other Jun 22, 1982
Unitypoint Health Des Moines Iowa Methodist Medical CenterDes Moines, IA, CCN 16T082 Hospital Other Jun 22, 1982
Story County Medical CenterNevada, IA, CCN 161333 Hospital Operational/Managerial Control Feb 1, 2013
Story County Medical CenterNevada, IA, CCN 16Z333 Hospital Operational/Managerial Control Feb 1, 2013
Greene County Medical CenterJefferson, IA, CCN 16Z325 Hospital Operational/Managerial Control Jul 1, 2011
Unitypoint Health Des Moines Iowa Lutheran HospitalDes Moines, IA, CCN 16S082 Hospital Other Jun 22, 1982
Cedar Ridge VillageWest Des Moines, IA, CCN 165790 Skilled nursing facility Direct Ownership Interest (47.47%) Apr 1, 2021
Lenox Medical ClinicLenox, IA, CCN 163469 Rural health clinic Operational/Managerial Control Jul 1, 2017
Lucas County Health Center Medical ClinicChariton, IA, CCN 168560 Rural health clinic Operational/Managerial Control Sep 1, 2015
Story Medical Clinic - NevadaNevada, IA, CCN 168594 Rural health clinic Operational/Managerial Control Feb 1, 2013
Story Medical Clinic - MaxwellMaxwell, IA, CCN 168595 Rural health clinic Operational/Managerial Control Feb 1, 2013
Corning Medical ClinicCorning, IA, CCN 168636 Rural health clinic Operational/Managerial Control Jul 1, 2017
Mount Ayr Community Health ClinicMount Ayr, IA, CCN 168638 Rural health clinic Operational/Managerial Control Jul 1, 2017
Greene County Family MedicineJefferson, IA, CCN 168619 Rural health clinic Operational/Managerial Control Jul 1, 2011
Clarke County ClinicOsceola, IA, CCN 168618 Rural health clinic Operational/Managerial Control Dec 1, 1987
GCH ClinicsAdair, IA, CCN 168620 Rural health clinic Operational/Managerial Control Jan 1, 2014
GCH ClinicsStuart, IA, CCN 168632 Rural health clinic Operational/Managerial Control Jan 1, 2014
GCH ClinicsPanora, IA, CCN 168637 Rural health clinic Operational/Managerial Control Jan 1, 2014

Owned or controlled facilities with NPI records 29

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 29

Practitioners & affiliated clinicians

Practitioners 578

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 578

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1003352949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-5936",
            "fax_number": "515-241-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "BOORD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "515-241-5942"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1591",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMMC Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.