BLANK CHILDRENS HOSPTIAL
NPI 1750633087
Clinic/Center - Primary Care in Ankeny, IA

NPI Status: Active since October 10, 2012

Contact Information

406 SW SCHOOL ST
ANKENY, IA
ZIP 50023
Phone: (515) 289-3960

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 16D0860813
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About BLANK CHILDRENS HOSPTIAL

This page provides the complete NPI Profile along with additional information for Blank Childrens Hosptial, a primary care provider established in Ankeny, Iowa operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1750633087 assigned on October 2012. The practitioner's primary taxonomy code is 261QP2300X with license number C-119097 (IA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Lindsey Marie Fredericksen Arnp (Pediatric Nurse Practitioner)

NPI
1750633087
Provider Name
BLANK CHILDRENS HOSPTIAL
Entity Type
Organization
Location Address
406 SW SCHOOL ST ANKENY, IA 50023
Location Phone
(515) 289-3960
Mailing Address
1200 PLEASANT ST DES MOINES, IA 50309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2012
Last Update Date
10-10-2012
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A primary care provider (PCP) like Blank Childrens Hosptial sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
C-119097
License State
IA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LINDSEY MARIE FREDERICKSEN ARNP

Authorized Official Title
PEDIATRIC NURSE PRACTITIONER
Authorized Official Phone
(515) 771-6691

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0860813
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
ERIC HAUGEN, MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Blank Childrens Hosptial in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750633087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001236016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 3 + 6 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1750633087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043435993NEW HORIZONS ADULT DAY CENTER
Organization
Clinic/Center (Adult Day Care)406 SW SCHOOL ST SUITE 118
ANKENY, IA 50023
(515) 965-1602
1124476742FRANKLIN FAMILY PRACTICE INC
Organization
Substance Abuse Rehabilitation Facility406 SW SCHOOL ST STE 219
ANKENY, IA 50023
(515) 280-3860

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750633087, enumerated in the NPI registry as an "organization" on October 10, 2012

The provider is located at 406 Sw School St Ankeny, Ia 50023 and the phone number is (515) 289-3960

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 16D0860813 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on October 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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