Active NPI
Iowa Physicians Clinic Medical Foundation
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
National Provider Identifier
1962651588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
- Practice address
- 6010 Mills Civic Parkway
West Des Moines, IA 50266-8345 - Phone
- (515) 221-7800
- Fax
- (515) 221-7801
- NPI assigned
- Sep 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin L McNichols
- Title
- VP/Coo
- Phone
- (515) 471-9201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6010 Mills Civic Parkway
West Des Moines, IA 50266-8345
Mailing address
8101 Birchwood Court
Suite R
Johnston, IA 50131-2930
Phone (515) 471-9243
Other names 1
- Iowa Health Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000363 | IA | Part B Supplier - Clinic/Group Practice | 8729992318 |
Receives reassigned benefits from 1,650 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rural Health Clinic/Center
- Anthon, IA
- NPI 1053203927
O20031118000363
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
O20031118000363
-
- Durable Medical Equipment & Medical Supplies
- Cedar Rapids, IA
- NPI 1609810522
O20031118000363
-
- General Practice Physician
- Johnston, IA
- NPI 1619309325
O20031118000363
-
- Rural Health Clinic/Center
- Correctionville, IA
- NPI 1639061583
O20031118000363
-
- Rural Health Clinic/Center
- Kingsley, IA
- NPI 1659263523
O20031118000363
-
- General Practice Physician
- Johnston, IA
- NPI 1891127502
O20031118000363
-
- General Practice Physician
- Muscatine, IA
- NPI 1982831426
O20031118000363
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298505600000",
"number": "1962651588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 BIRCHWOOD COURT",
"address_2": "SUITE R",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501312930",
"telephone_number": "515-471-9243",
"fax_number": "515-471-9319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 MILLS CIVIC PARKWAY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668345",
"telephone_number": "515-221-7800",
"fax_number": "515-221-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-18",
"last_updated": "2011-02-24",
"status": "A",
"authorized_official_last_name": "MCNICHOLS",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VP/COO",
"authorized_official_telephone_number": "515-471-9201"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Iowa Health Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Des Moines, IA
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Physicians Clinic Medical Foundation
- Iowa Retina Consultants, PC
- Iowa Sleep Disorders Center, P.C.
- Iowa Specialty Surgeons LLP
- Iowa Surgery Center, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.