NPIMap

Organization Active NPI

Broadlawns Medical Center

  • Mental Illness Community Based Residential Treatment Facility
  • Des Moines, IA
National Provider Identifier
1609951144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BROADLAWNS MEDICAL CENTER
Practice address
1812 Oakland Ave
Des Moines, IA 50314-3329
Phone
(515) 244-8381
Fax
(515) 244-1201
NPI assigned
Oct 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Janette Bormann
Title
Accountant
Phone
(515) 282-6904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

1812 Oakland Ave
Des Moines, IA 50314-3329

Mailing address

1812 Oakland Ave
Des Moines, IA 50314-3329

Other identifiers 1

IdentifierTypeStateIssuer
0236489MedicaidIA

Other names 1

  • Broadlawns Medical Center Residential Facilities Other name

National Provider Directory

National Provider Directory
Tax ID family
Anesthesiology Service16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

1812 Oakland Ave
Des Moines, IA 50314
Phone (515) 244-8381

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609951144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 OAKLAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 OAKLAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143329",
            "telephone_number": "515-244-8381",
            "fax_number": "515-244-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADLAWNS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORMANN",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "515-282-6904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236489",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadlawns Medical Center Residential Facilities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.