Organization
CITY OF DES MOINES IOWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLAS SCHAUL (FINANCE DIRECTOR)
(515) 283-4540
Entity
Organization
Contact information
Practice address
400 ROBERT D RAY DR, DES MOINES, IA 50309
(515) 283-4093
(515) 237-1670
Mailing address
P.O. BOX 511, DES MOINES, IA 50309
(833) 810-5003
(515) 237-1670
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095265
—
IA
01
—
09526
WELLMARK BC BS NUMBER
IA
01
—
285478300
US DEPT OF LABOR NUMBER
IA
Enumeration date
01/22/2007
Last updated
12/03/2024
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