Organization
LA CLINICA MEDICA LATINA OF DES MOINES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVA EAGLES ARNP (CLINIC OPERATIONS MGR CO OWNER)
(515) 265-8200
Entity
Organization
Contact information
Practice address
1300 DES MOINES ST, SUITE 106, DES MOINES, IA 50309-5502
(515) 265-8200
(515) 262-0045
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25966
IA
363L00000X
Nurse Practitioner
Primary
A098023
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785931
—
IA
05
—
0785956
—
IA
01
—
DN6229
RAILROAD MEDICARE
IA
Enumeration date
03/29/2007
Last updated
03/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us