Organization
CITY OF WEST DES MOINES
Active
Other names
Iowa EMS Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY D DUMERMUTH (CHIEF)
(515) 222-3652
Entity
Organization
Contact information
Practice address
8055 MILLS CIVIC PKWY, WEST DES MOINES, IA 50266-3815
(515) 222-3652
(515) 273-0662
Mailing address
PO BOX 65320, WEST DES MOINES, IA 50265-0320
(515) 222-3652
(515) 273-0662
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
2771300
IA
3416L0300X
Land Ambulance
Primary
2771300
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068056
—
IA
01
—
06805
WELLMARK BCBS
IA
01
—
089832800
BLACK LUNG/FECA
IA
05
—
806190609
—
IA
Enumeration date
01/17/2006
Last updated
07/26/2017
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