Provider Demographics
NPI:1427040500
Name:CITY OF COLFAX
Entity Type:Organization
Organization Name:CITY OF COLFAX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:EARLES
Authorized Official - Suffix:
Authorized Official - Credentials:CMC
Authorized Official - Phone:515-674-4096
Mailing Address - Street 1:CITY OF COLFAX
Mailing Address - Street 2:15 E HOWARD ST
Mailing Address - City:COLFAX
Mailing Address - State:IA
Mailing Address - Zip Code:50054-1020
Mailing Address - Country:US
Mailing Address - Phone:515-674-4096
Mailing Address - Fax:515-674-4996
Practice Address - Street 1:CITY OF COLFAX
Practice Address - Street 2:15 E HOWARD ST
Practice Address - City:COLFAX
Practice Address - State:IA
Practice Address - Zip Code:50054-1020
Practice Address - Country:US
Practice Address - Phone:515-674-4096
Practice Address - Fax:515-674-4996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0101535Medicaid
0101535OtherHERITAGE JOHN DEERE
590003213OtherMEDICARE RAILROAD
02247OtherBLUE CROSS BLUE SHIELD
0101535OtherIOWA MEDICAID ENTERPRISE
0101535OtherIOWA MEDICAID ENTERPRISE