Passageway, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PASSAGEWAY, INC.

Practice address

6000 Grand Avenue Suite G
Des Moines, IA 50312

Phone

(515) 243-6929

Fax

(515) 243-1747

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Jenny Erdman, CRC

Title

Executive Director

Phone

(515) 243-6929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rainbow Center, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1528153285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 GRAND AVENUE SUITE G",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50312",
            "telephone_number": "515-243-6929",
            "fax_number": "515-243-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 GRAND AVENUE SUITE G",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50312",
            "telephone_number": "515-243-6929",
            "fax_number": "515-243-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGEWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "ERDMAN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-243-6929",
        "authorized_official_credential": "CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235739",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chandra Parry, WHNP-BC
• Zachary Issac Parry, DC
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• Partners in Healthcare PLC
• Hunter Pashek, PA-C
• John Duane Paszek, M.D.
• Anna Marietta Patch
• Jennifer Jane Pate, D.O.
• Darshan Patel, PHARM D
• Dhruv Praful Patel, MD

• Community/Behavioral Health Agency in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.