Primarycare Housecalls PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMARYCARE HOUSECALLS PC

Doing business as

Primary Care Management Sevices LLC

Practice address

400 E Court Ave
Des Moines, IA 50309-2027

Phone

(507) 235-9334

NPI assigned

Oct 20, 2015

Last updated

Oct 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn J Drevlow, NP

Title

President

Phone

(507) 235-9334

Specialties & licenses 1

Addresses

Other names 1

• Primary Care Management Sevices LLC Doing business as

Locations

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1861864605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S STATE ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314139",
            "telephone_number": "507-235-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COURT AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092027",
            "telephone_number": "507-235-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARYCARE HOUSECALLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "DREVLOW",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-235-9334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Management Sevices LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.