City of Mitchellville
Organization Active NPI Public Health or Welfare Agency · Mitchellville, IA
NPI 1992736631 · NPPES record last updated Jul 18, 2011
Key facts
- NPI
- 1992736631
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- 2772700 (IA)
- Legal business name
- CITY OF MITCHELLVILLE
- Practice address
- 110 2ND St. NE
Mitchellville, IA 50169 - Phone
- (515) 967-9324
- Fax
- (515) 967-2631
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mike Twohey
- Title
- Ass. Chief
- Phone
- (515) 967-9324
Practitioners 1
-
Phillip Allen Campbell, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060418000754 | IA | Part B Supplier - Ambulance Service Supplier | 0244249357 | Practice locations: Mitchellville, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 2772700 | IA | Yes |
Addresses
Primary practice location
110 2ND St. NE
Mitchellville, IA 50169
Mailing address
PO Box 817
Mitchellville, IA 50169-0817
Phone (515) 967-9324
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100966 | Medicaid | IA |
Other providers in Mitchellville, IA
- John W. Anderson
- Blue Care Opco Mitchellville, LLC
- Steven Michael Cook
- Des Moines Central Correctional Pharmacy
- Jered Flinkman
- Cherlyn Anne Gingras
- Heather Lynn Horton
All providers in Mitchellville, IA · Public Health or Welfare Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.