Organization
ORCHARD PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE SALTSGAVER (CFO)
(515) 246-3501
Entity
Organization
Contact information
Practice address
925 SW PORTER AVE, DES MOINES, IA 50315-7235
(515) 285-6781
Mailing address
808 5TH AVE, DES MOINES, IA 50309-1315
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
77PM01
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012369
—
IA
01
—
64100
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/25/2005
Last updated
08/22/2020
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