Provider Demographics
NPI:1518094788
Name:DES MOINES INDEPENDENT COMMUNITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DES MOINES INDEPENDENT COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGINNIS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:515-242-7714
Mailing Address - Street 1:1801 16TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1902
Mailing Address - Country:US
Mailing Address - Phone:515-242-7618
Mailing Address - Fax:515-242-8267
Practice Address - Street 1:1801 16TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1902
Practice Address - Country:US
Practice Address - Phone:515-242-7618
Practice Address - Fax:515-242-8267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0257444Medicaid