NPIMap

Organization Active NPI

Polk County

  • Case Management Agency
  • Des Moines, IA
National Provider Identifier
1245364082
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
POLK COUNTY
Practice address
2309 Euclid Ave
Des Moines, IA 50310-5703
Phone
(515) 243-4545
Fax
(515) 243-8447
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Mr. Lynn Ferrell
Title
Executive Director
Phone
(515) 243-4545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

2309 Euclid Ave
Des Moines, IA 50310-5703

Mailing address

2309 Euclid Ave
Des Moines, IA 50310-5703
Phone (515) 243-4545

Other identifiers 2

IdentifierTypeStateIssuer
0763185MedicaidIA
0082511MedicaidIA

Other names 1

  • Polk County Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Polk County Health Dept3 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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1245364082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105703",
            "telephone_number": "515-243-4545",
            "fax_number": "515-243-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105703",
            "telephone_number": "515-243-4545",
            "fax_number": "515-243-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-243-4545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0763185",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082511",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk County Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 19, 2012; 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.