Broadlawns Medical Center
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Des Moines, IA
NPI 1336224872 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1336224872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- BROADLAWNS MEDICAL CENTER
- Practice address
- 1730 Arlington Ave
Des Moines, IA 50314-3311 - Phone
- (515) 244-3944
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janette Bormann
- Title
- Accountant
- Phone
- (515) 282-6904
Corporate family (same tax ID) 15
Practitioners 2
-
Laura Courtney-Brubaker, LMSW
-
Kaylee Rae Cranston, LMSW
National Provider Directory
- Tax ID family
- Anesthesiology Service
Locations
1730 Arlington Ave
Des Moines, IA 50314
Phone (515) 244-3944
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
1730 Arlington Ave
Des Moines, IA 50314-3311
Mailing address
1812 Oakland Ave
Des Moines, IA 50314-3329
Phone (515) 244-8381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0890038 | Medicaid | IA |
Other names
- Arlington Group Home
Other providers in Des Moines, IA
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
All providers in Des Moines, IA · Mental Illness Community Based Residential Treatment Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.