Organization
POLK COUNTY
Active
Other names
Polk County Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN FERRELL (EXECUTIVE DIRECTOR)
(515) 243-4545
Entity
Organization
Contact information
Practice address
2309 EUCLID AVE, DES MOINES, IA 50310-5703
(515) 243-4545
(515) 243-8447
Mailing address
2309 EUCLID AVE, DES MOINES, IA 50310-5703
(515) 243-4545
(515) 243-8447
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082511
—
IA
05
—
0763185
—
IA
Enumeration date
03/15/2007
Last updated
04/19/2012
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