Active NPI
Youth Emergency Services & Shelter of Iowa
- Voluntary or Charitable Agency
- Des Moines, IA
National Provider Identifier
1114075561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- YOUTH EMERGENCY SERVICES & SHELTER OF IOWA
- Practice address
- 918 SE 11TH St
Des Moines, IA 50309-5324 - Phone
- (515) 243-7825
- Fax
- (515) 282-6162
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen B Quirk
- Title
- Executive Director
- Phone
- (515) 243-7825
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
918 SE 11TH St
Des Moines, IA 50309-5324
Mailing address
918 SE 11TH St
Des Moines, IA 50309-5324
Phone (515) 243-7825
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0488007 | Medicaid | IA | |
| 1104471 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1114075561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 SE 11TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503095324",
"telephone_number": "515-243-7825",
"fax_number": "515-282-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 SE 11TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503095324",
"telephone_number": "515-243-7825",
"fax_number": "515-282-6162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH EMERGENCY SERVICES & SHELTER OF IOWA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "QUIRK",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "515-243-7825",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0488007",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104471",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.