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General NPI Number Information
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NPI Number | 1780270652
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Entity Type | Organization
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Legal Business Name | HY-VEE HEALTH EXEMPLAR CARE
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 7300 WESTOWN PKWY STE 330
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City | WEST DES MOINES
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State | IA
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Zip | 50266-2527
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Country | US
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Telephone | 515-650-4370
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Fax | 833-907-2284
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Provider Business Mailing Address
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Address Line | 7300 WESTOWN PKWY STE 330
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City | WEST DES MOINES
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State | IA
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Zip | 50266-2527
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Country | US
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Telephone | 515-650-4370
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Fax | 515-650-4373
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Authorized Official
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Title or Position | CEO
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Name | MR. JON JAY VAN DER VEER
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Credential | D.O.
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Telephone | 319-530-3786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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