- Practice location
- 400 E Court Ave Ste 110, Des Moines, IA 50309-2027
- Phone
- 860-788-6404
- Fax
- 860-829-0495
- Last updated
- May 5, 2025
Meditelecare Of Iowa PLLC is a healthcare organization based in Des Moines, IA. Meditelecare Of Iowa PLLC practices in Des Moines, IA. The NPI Number for Meditelecare Of Iowa PLLC is 1386146678. The current practice location address for Meditelecare Of Iowa PLLC is 400 E Court Ave Ste 110, Des Moines, IA 50309-2027 and can be reached out via phone at 860-788-6404 and via fax at 860-829-0495.
Provider Profile Details
- NPI Number
- 1386146678
- Provider Name
- Meditelecare Of Iowa PLLC
- Provider Entity Type
- Organization
- Address
- 400 E Court Ave Ste 110, Des Moines, IA 50309-2027
- Phone Number
- 860-788-6404
- Fax Number
- 860-829-0495
- Primary Taxonomy
- Psychologist · 103T00000X
- Organization Subpart
- No
- Authorized Official
- Andrea Godfrey · Credentialing & Enrollment Manager · 860-398-6441
- Provider Enumeration Date
- March 2, 2018
- Last Update Date
- May 5, 2025
- Certification Date
- May 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 E Court Ave Ste 110
Des Moines, IA 50309-2027 - City
- Des Moines
- State
- Iowa
- Zip
- 50309-2027
- Phone Number
- 860-788-6404
- Fax Number
- 860-829-0495
Provider Business Mailing Address Details
- Address
- Po Box 1595
Middletown, CT 06457-8095 - City
- Middletown
- State
- CT
- Zip
- 06457-8095
- Phone Number
- 860-788-6404
- Fax Number
- 860-829-0495
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Taxonomy (4)
- Nurse Practitioner · 363L00000X
- Taxonomy (5)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Taxonomy (6)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Meditelecare Of Iowa PLLC?
The NPI number of Meditelecare Of Iowa PLLC is 1386146678. It was assigned on March 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Meditelecare Of Iowa PLLC?
Meditelecare Of Iowa PLLC is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Meditelecare Of Iowa PLLC practice?
The practice location is 400 E Court Ave Ste 110, Des Moines, IA 50309-2027. The office can be reached at 860-788-6404 (phone) or 860-829-0495 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386146678 directly on the NPPES registry website.