Healthcare Provider Details

I. General information

NPI: 1780270652
Provider Name (Legal Business Name): HY-VEE HEALTH EXEMPLAR CARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 WESTOWN PKWY STE 330
WEST DES MOINES IA
50266-2527
US

IV. Provider business mailing address

7300 WESTOWN PKWY STE 330
WEST DES MOINES IA
50266-2527
US

V. Phone/Fax

Practice location:
  • Phone: 515-650-4370
  • Fax: 833-907-2284
Mailing address:
  • Phone: 515-650-4370
  • Fax: 515-650-4373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA BETH SAULS
Title or Position: VP OPERATIONS
Credential:
Phone: 515-650-4370