Organization Active NPI

Dallas County Iowa

  • Public Health or Welfare Agency
  • Adel, IA
National Provider Identifier
1083082606
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DALLAS COUNTY IOWA
Practice address
25747 N Ave
Suite C
Adel, IA 50003-4420
Phone
(515) 993-3750
Fax
(515) 993-4949
NPI assigned
Sep 14, 2015
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Jo Short
Title
Public Health Program Coordinator
Phone
(515) 993-3750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

25747 N Ave
Suite C
Adel, IA 50003-4420

Mailing address

25747 N Ave
Suite C
Adel, IA 50003-4420
Phone (515) 993-3750

Other identifiers 1

IdentifierTypeStateIssuer
0670299MedicaidIA

Other names 1

  • Dallas County Health Department Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1083082606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25747 N AVE",
            "address_2": "SUITE C",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500034420",
            "telephone_number": "515-993-3750",
            "fax_number": "515-993-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25747 N AVE",
            "address_2": "SUITE C",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500034420",
            "telephone_number": "515-993-3750",
            "fax_number": "515-993-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PUBLIC HEALTH PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "515-993-3750"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670299",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.