Organization
PRIMARY HEALTH CARE, INC.
Active
Organization
PRIMARY HEALTH CARE, INC.
Active
Other names
Primary Health Care-Bery Engebretsen Dental Clinic, Primary Health Care-Bery Engebretsen Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL A SIMPSON (CHIEF EXECUTIVE OFFICER)
(515) 248-1441
Entity
Organization
Contact information
Practice address
2353 SE 14TH ST, DES MOINES, IA 50320-1109
(515) 248-1400
(515) 248-1440
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
NA
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198614
—
IA
01
—
29368
WELLMARK BCBS
IA
Enumeration date
06/29/2006
Last updated
01/07/2026
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