Provider Demographics
NPI:1457803876
Name:CENTRAL IOWA HOSPITAL CORPORATION
Entity type:Organization
Organization Name:CENTRAL IOWA HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:515-965-4680
Mailing Address - Street 1:3625 N ANKENY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4610
Mailing Address - Country:US
Mailing Address - Phone:515-965-4680
Mailing Address - Fax:515-446-2691
Practice Address - Street 1:3625 N ANKENY BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4610
Practice Address - Country:US
Practice Address - Phone:515-965-4680
Practice Address - Fax:515-446-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0002X
IA15753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2165937OtherPK