Healthcare Provider Details

I. General information

NPI: 1053539932
Provider Name (Legal Business Name): CATHOLIC HEALTH INITIATIVES-IOWA CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 6TH AVE
DES MOINES IA
50314
US

IV. Provider business mailing address

PO BOX 14584
DES MOINES IA
50305-3584
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-8133
  • Fax:
Mailing address:
  • Phone: 515-643-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WEGNER
Title or Position: INTERIM PRESIDENT
Credential:
Phone: 515-247-4278