Broadlawns Medical Center
Organization Active NPI Community/Behavioral Health Agency · Des Moines, IA
NPI 1669784104 · NPPES record last updated Jul 13, 2010
Key facts
- NPI
- 1669784104
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BROADLAWNS MEDICAL CENTER
- Practice address
- 1801 Hickman Rd
Des Moines, IA 50314 - Phone
- (515) 282-6810
- NPI assigned
- Jul 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Vincent J Mandracchia, DPM
- Title
- Chief Medical Officer
- Phone
- (515) 282-2562
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Anesthesiology Service
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1801 Hickman Rd
Des Moines, IA 50314
Mailing address
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-6810
Other names
- CAP SUPPORTED COMMUNITY LIVING
Other providers in Des Moines, IA
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Toni Maria Broberg
- Tara Brockman
All providers in Des Moines, IA · Community/Behavioral Health Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.