City of West Des Moines

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2771300 Issued in IA

Legal business name

CITY OF WEST DES MOINES

Practice address

8055 Mills Civic Pkwy
West Des Moines, IA 50266-3815

Phone

(515) 222-3652

Fax

(515) 273-0662

NPI assigned

Jan 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery D Dumermuth

Title

Chief

Phone

(515) 222-3652

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Iowa EMS Alliance Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1306826359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65320",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502650320",
            "telephone_number": "515-222-3652",
            "fax_number": "515-273-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 MILLS CIVIC PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663815",
            "telephone_number": "515-222-3652",
            "fax_number": "515-273-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WEST DES MOINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "DUMERMUTH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "515-222-3652",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IA",
            "license": "2771300",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2771300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068056",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG/FECA",
            "identifier": "089832800",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806190609",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "06805",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iowa EMS Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie D. Christianson, AU.D., CCC-A
• Christinelewislisw
• Christopher C Zimmerman DC PC
• Chrysalis Counseling Center, LLC
• Kylee Renae Cibula, ARNP
• Alexa Clark
• Geraldine Marie Clark, PHARMD, BCPS
• Grant William Clark
• Melanie C Clark, TLMHC
• Steven R. Clark, P.T.

• Land Ambulance in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.