Provider Demographics
NPI:1104789619
Name:CENTRAL IOWA HOSPITAL CORPORATION
Entity type:Organization
Organization Name:CENTRAL IOWA HOSPITAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:515-241-3411
Mailing Address - Street 1:1212 PLEASANT ST STE 109
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1410
Mailing Address - Country:US
Mailing Address - Phone:515-471-0005
Mailing Address - Fax:515-471-0009
Practice Address - Street 1:1212 PLEASANT ST STE 109
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1410
Practice Address - Country:US
Practice Address - Phone:515-471-0005
Practice Address - Fax:515-471-0009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL IOWA HOSPITAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy