Provider Demographics
NPI:1972656841
Name:CITY OF DES MOINES
Entity Type:Organization
Organization Name:CITY OF DES MOINES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-283-4271
Mailing Address - Street 1:P.O. BOX 511
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309
Mailing Address - Country:US
Mailing Address - Phone:833-810-5003
Mailing Address - Fax:515-237-1670
Practice Address - Street 1:400 ROBERT D RAY DR
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309
Practice Address - Country:US
Practice Address - Phone:515-283-4093
Practice Address - Fax:515-237-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA285478300OtherUS DEPT OF LABOR NUMBER
IA09526OtherWELLMARK BC BS NUMBER
IA0095265Medicaid
IA285478300OtherUS DEPT OF LABOR NUMBER
IA590010679Medicare ID - Type UnspecifiedRAILROAD MEDICARE NUMBER