Catholic Health Initiatives-Iowa Corp
Organization Active NPI Clinical Medical Laboratory · Des Moines, IA
NPI 1104982743 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1104982743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES-IOWA CORP
- Practice address
- 1111 6TH Ave
Des Moines, IA 50314-2610 - Phone
- (515) 643-8200
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Kurt Andersen
- Title
- President
- Phone
- (515) 358-9200
Owners & managing parties with NPI records 4
-
Michael C Fraizer, M.D.
-
Neil R Horning, MD
-
Stephen Nowak, DO
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 14
Affiliated clinicians 1,224
-
Deepika Reddy Abbadi, M.D
-
Laura Abels, DO
-
Jennifer M Abler, D.O.
-
Timothy Garth Abrahamson, M.D.
-
Tonia K Ackerman, ARNP
-
Shakuntala V Advani, M.D.
-
Lindsey Ranae Aeschliman, ARNP
-
Aneesa Afroze, M.D.
-
Amol Agarwal, MD
-
Nandita Agarwal, M.D.
-
Ravinder Kumar Agarwal, M.D.
-
Michael Agey, DO
-
Christina Lynn Aguilar, ARNP
-
Jashim U Ahmed, MD
-
Ali Al Ameri, MD
-
Kellie Marie Alessio, PA-C
-
Anna Allen, DNP, ARNP, FNP-C
Medicare Care Compare: Hospital
- Listed as
- Mercyone Des Moines Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0383702 | Mercyone Des Moines Medical Center | Accreditation | Oct 19, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Hospital certification: CCN 160083
- Legal name
- CATHOLIC HEALTH INITIATIVES-IOWA CORP
- Doing business as
- MERCYONE DES MOINES MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 10, 2017
- Beds
- 649 (596 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1111 6TH Ave
Des Moines, IA 50314-2613 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher Nelson |
Corporate Director |
Jul 1, 2020 | |
| Neil R Horning |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jul 1, 2020 | ||
| Stephen R Nowak |
Corporate Director |
Jul 1, 2020 | |
| Timothy Miller |
Corporate Director |
Jul 1, 2020 | |
| Maurita Soukup |
Corporate Director |
Jul 1, 2020 | |
| Emily Abbas |
Corporate Director |
Jul 1, 2018 | |
| Michael C Fraizer |
Corporate Director |
Jun 30, 2022 | |
| Vanessa L Freitag |
Corporate Officer |
Apr 15, 2024 | |
| Corporate Director |
Apr 15, 2024 | ||
| W-2 Managing Employee |
Apr 15, 2024 | ||
| Brian Johnson |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Jul 1, 2018 | ||
| Mercy Health Network Inc |
5% Or Greater Direct Ownership Interest | Sep 1, 2022 | 100% |
| Theresa McConeghey |
Corporate Officer |
Jan 1, 2018 | |
| Corporate Director |
Jan 1, 2018 | ||
| Kurt a Andersen |
Corporate Officer |
Jan 24, 2024 | |
| W-2 Managing Employee |
Jan 24, 2024 | ||
| Patricia McDermott |
Corporate Director |
Jun 1, 2017 | |
| Erin E Netteland Sandvig |
Corporate Director |
Jun 30, 2022 | |
| Paul Hedinger |
Corporate Officer |
Apr 28, 2026 | |
| W-2 Managing Employee |
Apr 28, 2026 | ||
| Trinity Health Corporation |
5% Or Greater Indirect Ownership Interest | Sep 1, 2022 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071106000163 | IA | Part a Provider - Hospital | 5698683142 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Catholic Health Iowa Corp
Locations
800 E 1st St
Ste 1400
Ankeny, IA 50021
1601 NW 114th St
Ste 134
Clive, IA 50325
411 Laurel St
Ste A265
Des Moines, IA 50314
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
1111 6TH Ave
Des Moines, IA 50314-2610
Mailing address
PO Box 4867
Des Moines, IA 50305-4867
Phone (515) 643-8200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3600833 | Medicaid | IA |
Other names
- MercyOne Des Moines Laboratory
Other providers in Des Moines, IA
- Catholic Charities
- Catholic Council for Social Concern
- Catholic Health Initiatives - Iowa Corp
- Catholic Health Initiatives Iowa Corp
- Catholic Health Initiatives Iowa Corp
- Catholic Health Initiatives-Iowa Corp
- Catholic Health Initiatives-Iowa Corp
- Catholic Health Initiatives-Iowa Corp
- Catholic Health Initiatives-Iowa Corp.
- Catholic Health Initiatives-Iowa Corp.
All providers in Des Moines, IA · Clinical Medical Laboratory in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.