Organization
CENTRAL IOWA HOSPITAL CORPORATION
Active
Parent organization
CENTRAL IOWA HOSPITAL CORPORATION
Other names
Penn Avenue Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Authorized official
MR. JOSEPH F. CORFITS JR. (CFO)
(515) 241-6507
Entity
Organization
Contact information
Practice address
1201 PENNSYLVANIA AVE, DES MOINES, IA 50316-2339
(515) 266-1000
(515) 266-1824
Mailing address
5409 NW 88TH ST, SUITE 200, JOHNSTON, IA 50131-2949
(515) 362-5980
(515) 362-5985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227926
—
IA
01
—
CI3009
RAILROAD MEDICARE GROUP
IA
Enumeration date
05/15/2006
Last updated
05/21/2008
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