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General NPI Number Information
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NPI Number | 1770871824
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Entity Type | Organization
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Legal Business Name | CENTRAL IOWA HOSPITAL CORPORATION
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 1200 PLEASANT STREET
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City | DES MOINES
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State | IA
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Zip | 50309-1453
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Country | US
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Telephone | 515-241-6213
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Fax | 515-241-4366
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Provider Business Mailing Address
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Address Line | 1200 PLEASANT STREET
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City | DES MOINES
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State | IA
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Zip | 50309-1453
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Country | US
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Telephone | 515-241-6213
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Fax | 515-241-4366
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL J DEWERFF
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Credential |
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Telephone | 515-241-6507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | IA
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