Organization
CENTRAL IOWA HOSPITAL CORPORATION
Active
Other names
Iowa Lutheran Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J DEWERFF (CFO)
(515) 241-6507
Entity
Organization
Contact information
Practice address
700 E UNIVERSITY AVE, DES MOINES, IA 50316-2302
(515) 263-5612
Mailing address
PO BOX 26708, SALT LAKE CITY, UT 84126-0708
(515) 263-5612
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
770078H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65130
BLUE CROSS
IA
Enumeration date
09/29/2006
Last updated
03/19/2019
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