NPIMap

Organization Active NPI

Central Iowa Hospital Corp.

Doing business as Blank Health Providers NP Group

  • Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1568599314
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CENTRAL IOWA HOSPITAL CORP.
Doing business as
Blank Health Providers NP Group
Practice address
1212 Pleasant St.
Ste. 300
Des Moines, IA 50309-1453
Phone
(515) 241-5926
Fax
(515) 241-5127
NPI assigned
Feb 28, 2007
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Becky Patton-Quigley, CAPPM, MCPM
Title
Administrative Director
Phone
(515) 241-6447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

1212 Pleasant St.
Ste. 300
Des Moines, IA 50309-1453

Mailing address

1212 Pleasant St.
Ste. 300
Des Moines, IA 50309-1453
Phone (515) 241-5926

Other identifiers 2

IdentifierTypeStateIssuer
073850MedicaidIA
0738500MedicaidIA

Other names 1

  • Blank Health Providers NP Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Unity Point Health Blank Childrens Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

1212 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1568599314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST.",
            "address_2": "STE. 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091453",
            "telephone_number": "515-241-5926",
            "fax_number": "515-241-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST.",
            "address_2": "STE. 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091453",
            "telephone_number": "515-241-5926",
            "fax_number": "515-241-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "PATTON-QUIGLEY",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "515-241-6447",
        "authorized_official_credential": "CAPPM, MCPM"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073850",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0738500",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blank Health Providers NP Group",
            "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 Jul 29, 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.