NPIMap

Organization Active NPI

Catholic Health Initiatives Iowa Corp

Doing business as Mercy Ostomy Clinic

  • Medical Specialty Clinic/Center
  • Des Moines, IA
National Provider Identifier
1417094541
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CATHOLIC HEALTH INITIATIVES IOWA CORP
Doing business as
Mercy Ostomy Clinic
Practice address
1111 6TH Ave
West 1
Des Moines, IA 50314-2613
Phone
(515) 643-0850
NPI assigned
Jan 30, 2007
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Rebecca Lenz
Title
Director of Central Billing Office
Phone
(515) 643-8727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1111 6TH Ave
West 1
Des Moines, IA 50314-2613

Mailing address

PO Box 14584
Des Moines, IA 50306-3584
Phone (515) 247-8133

Other names 1

  • Mercy Ostomy Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000163 IA Part B Supplier - Clinic/Group Practice 5698683142 Receives reassigned benefits from 152 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenfield, IA; Iowa City, IA; Indianola, IA; Knoxville, IA; Lake City, IA; Leon, IA; Manning, IA; Mt Pleasant, MO…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 17

Organizations listed as members of this organization in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1417094541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14584",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503063584",
            "telephone_number": "515-247-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "address_2": "WEST 1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES IOWA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR OF CENTRAL BILLING OFFICE",
        "authorized_official_telephone_number": "515-643-8727"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Ostomy Clinic",
            "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 Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.