Provider Demographics
NPI:1376650994
Name:VA CENTRAL IOWA HEALTH CARE SYSTEM
Entity type:Organization
Organization Name:VA CENTRAL IOWA HEALTH CARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:AOKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-699-5825
Mailing Address - Street 1:3600 30TH ST.
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-5774
Mailing Address - Country:US
Mailing Address - Phone:515-699-5825
Mailing Address - Fax:515-699-5906
Practice Address - Street 1:3600 30TH ST.
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5774
Practice Address - Country:US
Practice Address - Phone:515-699-5825
Practice Address - Fax:515-699-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5654282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access