Provider Demographics
NPI:1669482741
Name:CITY OF DOWS
Entity Type:Organization
Organization Name:CITY OF DOWS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-852-4327
Mailing Address - Street 1:119 E. ELLSWORTH STREET
Mailing Address - Street 2:P.O. BOX 395
Mailing Address - City:DOWS
Mailing Address - State:IA
Mailing Address - Zip Code:50071-0395
Mailing Address - Country:US
Mailing Address - Phone:515-852-4327
Mailing Address - Fax:515-852-4327
Practice Address - Street 1:119 EAST ELLSWORTH ST.
Practice Address - Street 2:
Practice Address - City:DOWS
Practice Address - State:IA
Practice Address - Zip Code:50071-0395
Practice Address - Country:US
Practice Address - Phone:515-852-4327
Practice Address - Fax:515-852-4327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF DOWS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-09
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA29904003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0057125Medicaid
IA0057125Medicaid