Organization Active NPI

Iowa Physicians Clinic Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Des Moines, IA
National Provider Identifier
1487687232
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1100240008 Issued in IA
Legal business name
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Practice address
1221 Pleasant Street
Suite 170
Des Moines, IA 50309-1424
Phone
(515) 241-4300
Fax
(515) 241-4359
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Robin L McNichols
Title
VP/Coo
Phone
(515) 471-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1100240008 IA Primary

Addresses

Primary practice location

1221 Pleasant Street
Suite 170
Des Moines, IA 50309-1424

Mailing address

8101 Birchwood Court
Suite R
Johnston, IA 50131-2930
Phone (515) 471-9243

Other names 1

  • Iowa Health Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

1221 Pleasant St
Ste 170
Des Moines, IA 50309
Phone (515) 241-4300

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1487687232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD COURT",
            "address_2": "SUITE R",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT STREET",
            "address_2": "SUITE 170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091424",
            "telephone_number": "515-241-4300",
            "fax_number": "515-241-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "MCNICHOLS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "515-471-9201"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1100240008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Health Physicians",
            "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 Feb 24, 2011; 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.