# CENTRAL IOWA HOSPITAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL IOWA HOSPITAL CORPORATION
- **Other names:** East Des Moines Family Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104879576
- **Legal business name:** CENTRAL IOWA HOSPITAL CORPORATION
- **Authorized official:** MICHAEL J DEWERFF (CFO)
- **Authorized official phone:** (515) 241-6507

## Contact information

- **Practice address:** 840 E UNIVERSITY AVE, DES MOINES, IA 50316-2304
- **Practice address phone:** (515) 265-4211
- **Practice address fax:** (515) 309-5993
- **Mailing address:** 5409 NW 88TH ST, SUITE 200, JOHNSTON, IA 50131-2949
- **Mailing address phone:** (515) 362-5980
- **Mailing address fax:** (515) 362-5985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 03/19/2019