Organization Active NPI

Hy Vee Iowa Health LC

Doing business as Iowa Health Express Care

  • Nurse Practitioner
  • Ankeny, IA
National Provider Identifier
1801044581
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HY VEE IOWA HEALTH LC
Doing business as
Iowa Health Express Care
Practice address
410 N Ankeny Blvd
Ankeny, IA 50023-1753
Phone
(515) 964-1601
NPI assigned
Sep 5, 2008
Last updated
Mar 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Mr. Michael P. Jurgens
Title
Chair of the Board of Managers
Phone
(515) 267-2880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

410 N Ankeny Blvd
Ankeny, IA 50023-1753

Mailing address

410 N Ankeny Blvd
Ankeny, IA 50023-1753
Phone (515) 964-1601

Other names 1

  • Iowa Health Express Care Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8101 Birchwood Ct
Ste S
Johnston, IA 50131

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1801044581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231753",
            "telephone_number": "515-964-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231753",
            "telephone_number": "515-964-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY VEE IOWA HEALTH LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "JURGENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHAIR OF THE BOARD OF MANAGERS",
        "authorized_official_telephone_number": "515-267-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa Health Express Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.