Organization Active NPI

Lutheran Services in Iowa

  • Community/Behavioral Health Agency
  • Des Moines, IA
National Provider Identifier
1205967734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUTHERAN SERVICES IN IOWA
Practice address
3125 Cottage Grove Ave
Des Moines, IA 50311-3809
Phone
(515) 277-4476
Fax
(515) 271-7450
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deb Gay
Title
Director of Finance
Phone
(515) 271-7388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3125 Cottage Grove Ave
Des Moines, IA 50311-3809

Mailing address

3125 Cottage Grove Ave
Des Moines, IA 50311-3809
Phone (515) 277-4476

Other identifiers 1

IdentifierTypeStateIssuer
0736579MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Services Ia Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3125 Cottage Grove Ave
Des Moines, IA 50311
Phone (515) 274-4946

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205967734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 COTTAGE GROVE AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503113809",
            "telephone_number": "515-277-4476",
            "fax_number": "515-271-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 COTTAGE GROVE AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503113809",
            "telephone_number": "515-277-4476",
            "fax_number": "515-271-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SERVICES IN IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "515-271-7388"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0736579",
            "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 Aug 22, 2020; 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.