| Broadlawns Medical Center | |
|
1801 Hickman Rd Des Moines IA 50314-1505 | |
| (515) 282-2200 | |
| Not Available |
| Full Name | Broadlawns Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1801 Hickman Rd, Des Moines, Iowa |
| Authorized Official Name and Position | Vincent J Mandracchia (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5152822562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadlawns Medical Center 1801 Hickman Rd Des Moines IA 50314-1505 Ph: (515) 282-2200 | Broadlawns Medical Center 1801 Hickman Rd Des Moines IA 50314-1505 Ph: (515) 282-2200 |
| NPI Number | 1962662379 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962662379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 273R00000X | Psychiatric Unit | 4703006 (Iowa) | Primary |
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