# JORDAN CREEK FAMILY MEDICAL CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356378772
- **Authorized official:** BASIL SAADI HASSAN M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (515) 457-8517

## Contact information

- **Practice address:** 230 S 68TH ST, SUITE 220, WEST DES MOINES, IA 50266-8176
- **Practice address phone:** (515) 457-8517
- **Mailing address:** 230 S 68TH ST, SUITE 220, WEST DES MOINES, IA 50266-8176
- **Mailing address phone:** (515) 457-8517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35490 | IA | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/22/2020