# CENTRAL IOWA HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL IOWA HOSPITAL CORPORATION
- **Other names:** Penn Avenue Internal Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194776955
- **Legal business name:** CENTRAL IOWA HOSPITAL CORPORATION
- **Authorized official:** MR. JOSEPH F. CORFITS JR. (CFO)
- **Authorized official phone:** (515) 241-6507

## Contact information

- **Practice address:** 1201 PENNSYLVANIA AVE, DES MOINES, IA 50316-2339
- **Practice address phone:** (515) 266-1000
- **Practice address fax:** (515) 266-1824
- **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 |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 05/21/2008