Provider Demographics
NPI:1770536278
Name:STEINMANN FAMILY HEALTH CLINIC PC
Entity type:Organization
Organization Name:STEINMANN FAMILY HEALTH CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ADOLPH
Authorized Official - Last Name:STEINMANN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO, DC
Authorized Official - Phone:515-243-2888
Mailing Address - Street 1:1221 CENTER ST
Mailing Address - Street 2:SUITE 15
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1014
Mailing Address - Country:US
Mailing Address - Phone:515-243-2888
Mailing Address - Fax:515-243-4377
Practice Address - Street 1:1221 CENTER ST
Practice Address - Street 2:SUITE 15
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1014
Practice Address - Country:US
Practice Address - Phone:515-243-2888
Practice Address - Fax:515-243-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04861111N00000X
363LX0001X, 363LF0000X
IA02461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0464149Medicaid
IAI15658Medicare PIN
IA0464149Medicaid