Broadlawns Medical Center
Organization Active NPI Psychiatric Hospital Unit · Des Moines, IA
NPI 1922089002 · NPPES record last updated Apr 3, 2008
Key facts
- NPI
- 1922089002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- BROADLAWNS MEDICAL CENTER
- Practice address
- 1801 Hickman Road
Des Moines, IA 50314 - Phone
- (515) 282-2200
- Fax
- (515) 282-3234
- NPI assigned
- Nov 7, 2005
- Reactivated
- Apr 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Jody J Jenner
- Title
- Chief Executive Officer
- Phone
- (515) 282-2234
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Yes |
Addresses
Primary practice location
1801 Hickman Road
Des Moines, IA 50314
Mailing address
1801 Hickman Road
Des Moines, IA 50314
Phone (515) 282-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A5031401 | Other | IA | JOHN DEERE, UHC RIVER VAL |
| 0601013 | Medicaid | IA | |
| 132198 | Other | IA | VALUE OPTIONS |
| 29705 | Other | IA | COVENTRY |
| 10020 | Other | IA | AMERICAN PSYCH SYSTEMS |
| 20023 | Other | IA | TRICARE |
| 6230290 | Other | IA | AETNA |
Other names
- Sands Mental Health Center
Other providers in Des Moines, IA
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Broadlawns Medical Center
- Toni Maria Broberg
- Tara Brockman
- Mikayla Marie Brockmeyer
- Danielle N Brodersen
All providers in Des Moines, IA · Psychiatric Hospital Unit in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2008. 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.