Aetna Health of Iowa Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AETNA HEALTH OF IOWA INC.

Practice address

4320 114TH St
Urbandale, IA 50322-5408

Phone

(602) 659-1100

NPI assigned

Jun 5, 2019

Last updated

Jun 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Sloma

Title

Vice President & Chief Officer

Phone

(515) 253-4050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1407414279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720B ROCKLEDGE DR STE 800",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 114TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503225408",
            "telephone_number": "602-659-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA HEALTH OF IOWA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "SLOMA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT & CHIEF OFFICER",
        "authorized_official_telephone_number": "515-253-4050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Health Maintenance Organization in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.