NPIMap

Organization Active NPI

Central Iowa Hospital Corporation

Doing business as Iowa Lutheran Hospital

  • Skilled Nursing Facility
  • Des Moines, IA
National Provider Identifier
1124110887
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
770078H Issued in IA
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Doing business as
Iowa Lutheran Hospital
Practice address
700 E University Ave
Des Moines, IA 50316-2302
Phone
(515) 263-5612
NPI assigned
Sep 29, 2006
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Michael J Dewerff
Title
Cfo
Phone
(515) 241-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 770078H IA Primary

Addresses

Primary practice location

700 E University Ave
Des Moines, IA 50316-2302

Mailing address

PO Box 26708
Salt Lake City, UT 84126-0708
Phone (515) 263-5612

Other identifiers 1

IdentifierTypeStateIssuer
65130OtherIABLUE CROSS

Other names 1

  • Iowa Lutheran Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1124110887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26708",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260708",
            "telephone_number": "515-263-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162302",
            "telephone_number": "515-263-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "DEWERFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-241-6507"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "770078H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "65130",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Lutheran Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iowa Lutheran Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.