HEALTHY AGING AND MEMORY CLINIC – NPI #1417044645
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

HEALTHY AGING AND MEMORY CLINIC is a provider located in WEST DES MOINES, IA. NPPES has assigned the NPI number 1417044645 to HEALTHY AGING AND MEMORY CLINIC on October 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 15 years ago on Oct 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEALTHY AGING AND MEMORY CLINIC below.

NPI Profile for
HEALTHY AGING AND MEMORY CLINIC

NPI Number
1417044645
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEALTHY AGING AND MEMORY CLINIC
Primary location
1300 50TH STREET
SUITE 104
WEST DES MOINES, IA 50266
Phone: (515) 224-4100 Fax: (515) 224-4926
Mailing address
2555 106TH STREET
URBANDALE, IA 50322-3766
Phone: (515) 334-7524 Fax: (515) 334-7528
Organization Subpart
No
Authorized Official
ROBERT BENDER
MEDICAL DIRECTOR
Phone: (515) 224-4100
Updated
Identifiers

Identifiers for HEALTHY AGING AND MEMORY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA2184259
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.