Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jordan Creek Family Medical Clinic PC

Organization Family Medicine Physician · NPI 1356378772

Jordan Creek Family Medical Clinic PC provides Family Medicine Physician services in West Des Moines, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

230 S 68th St Ste 220
West Des Moines, IA 50266-8176
Phone: (515) 457-8517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35490 (IA)

Record details

NPI number1356378772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basil Hassan — President/Ceo · (515) 457-8517
NPI enumeratedJune 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address230 S 68th St, Suite 220, West Des Moines, IA 50266-8176

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