# CENTRAL IOWA HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UPHDM Rehabilitation Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235676412
- **Authorized official:** MICHAEL J DEWERFF (CFO)
- **Authorized official phone:** (515) 241-6507

## Contact information

- **Practice address:** 1200 PLEASANT ST, DES MOINES, IA 50309-1406
- **Practice address phone:** (515) 241-6435
- **Practice address fax:** (515) 241-8010
- **Mailing address:** 1200 PLEASANT ST, ROOM SOUTH 236, DES MOINES, IA 50309-1406
- **Mailing address phone:** (515) 241-6228
- **Mailing address fax:** (515) 241-8685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 364SR0400X | Rehabilitation Clinical Nurse Specialist | — | NULL | — |
| 364SR0400X | Rehabilitation Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 03/19/2019