Organization
FOUNTAIN HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A TIEMEYER LNHA (ADMINISTRATOR)
(515) 223-1223
Entity
Organization
Contact information
Practice address
1501 OFFICE PARK RD, WEST DES MOINES, IA 50265-2497
(515) 223-1223
(515) 223-6345
Mailing address
1501 OFFICE PARK RD, WEST DES MOINES, IA 50265-2497
(515) 223-1223
(515) 223-6345
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-231
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801274
—
IA
Enumeration date
09/21/2005
Last updated
08/22/2020
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