| Central Iowa Hospital Corporation | |
|
5900 Nw 86th St Ste 100 Johnston IA 50131-2284 | |
| (515) 276-6133 | |
| (515) 334-7356 |
| Full Name | Central Iowa Hospital Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 5900 Nw 86th St, Johnston, Iowa |
| Authorized Official Name and Position | Joseph F. Corfits (CFO) |
| Authorized Official Contact | 5152416507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Iowa Hospital Corporation 5409 Nw 88th St Suite 200 Johnston IA 50131-2949 Ph: (515) 362-5980 | Central Iowa Hospital Corporation 5900 Nw 86th St Ste 100 Johnston IA 50131-2284 Ph: (515) 276-6133 |
| NPI Number | 1700837606 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700837606 | NPI | - | NPPES |
| 0262121 | Medicaid | IA | |
| CK5160 | Other | IA | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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