MEDICARE: HY-VEE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	19373	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922175611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HY-VEE CARE

Provider Business Mailing Address
First Line	:	3998 NW URBANDALE DR
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50322-7922
Country	:	US
Telephone Number	:	515-278-0117
Fax Number	:

Provider Business Practice Location Address
First Line	:	3998 NW URBANDALE DR
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50322-7922
Country	:	US
Telephone Number	:	515-278-0117
Fax Number	:

Authorized Official
Title or Position	:	CONSULTANT PHARMACIST
Name	:	MR. JOHN C GREINER
Credential	:	PHARMD
Telephone Number	:	515-250-4238

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	08/22/2020

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Directions to “HY-VEE CARE ” Practice Location

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