Provider Demographics
NPI:1407000268
Name:COUNTY OF DES MOINES
Entity Type:Organization
Organization Name:COUNTY OF DES MOINES
Other - Org Name:DES MOINES COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-753-8290
Mailing Address - Street 1:522 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-5226
Mailing Address - Country:US
Mailing Address - Phone:319-753-8290
Mailing Address - Fax:319-753-8703
Practice Address - Street 1:522 N 3RD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5226
Practice Address - Country:US
Practice Address - Phone:319-753-8290
Practice Address - Fax:319-753-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
67026OtherWELLMARK BLUE CROSS/BLUE SHIELD