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NPI Code Detail

MEDICARE: PRIMARY HEALTH CARE, INC.

MEDICARE: PRIMARY HEALTH CARE, INC.
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
1261QF0400XFederally Qualified Health Center (FQHC)NAIA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
229368OTHERIAWELLMARK BCBS

General Provider Information

NPI Number : 1588692487
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 1200 UNIVERSITY AVE STE 200
Second Line :
City : DES MOINES
State : IA
Zip : 50314-2355
Country : US
Telephone Number : 515-248-1447
Fax Number : 515-248-1440
Provider Business Practice Location Address
First Line : 2353 SE 14TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50320-1109
Country : US
Telephone Number : 515-248-1400
Fax Number : 515-248-1440
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : NATHANIEL A SIMPSON
Credential :
Telephone Number : 515-248-1441
Provider Enumeration Date : 06/29/2006
Last Update Date : 01/07/2026

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Directions to “PRIMARY HEALTH CARE, INC. ” Practice Location

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