Organization
BROADLAWNS MEDICAL CENTER
Active
Other names
Sands Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JODY J JENNER (CHIEF EXECUTIVE OFFICER)
(515) 282-2234
Entity
Organization
Contact information
Practice address
1801 HICKMAN ROAD, DES MOINES, IA 50314
(515) 282-2200
(515) 282-3234
Mailing address
1801 HICKMAN ROAD, DES MOINES, IA 50314
(515) 282-2200
(515) 282-3234
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601013
—
IA
01
—
10020
AMERICAN PSYCH SYSTEMS
IA
01
—
132198
VALUE OPTIONS
IA
01
—
20023
TRICARE
IA
01
—
29705
COVENTRY
IA
01
—
6230290
AETNA
IA
01
—
A5031401
JOHN DEERE, UHC RIVER VAL
IA
Enumeration date
11/07/2005
Last updated
04/03/2008
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