Organization
CALVIN COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A TEIGLAND (PRESIDENT/CEO)
(515) 277-6141
Entity
Organization
Contact information
Practice address
4210 HICKMAN RD, DES MOINES, IA 50310-3333
(515) 277-6141
(515) 271-0933
Mailing address
4210 HICKMAN RD, DES MOINES, IA 50310-3333
(515) 277-6141
(515) 271-0933
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
770368
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800417
—
IA
01
—
4821930001
MEDICARE DMERCS
—
Enumeration date
10/13/2005
Last updated
11/27/2013
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