YOUTH EMERGENCY SERVICES & SHELTER OF IOWA NPI 1114075561

NPI Information

NPI: 1114075561
Provider Name: YOUTH EMERGENCY SERVICES & SHELTER OF IOWA
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
918 SE 11TH ST
DES MOINES, IA
ZIP 50309
Phone: (515) 243-7825
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YOUTH EMERGENCY SERVICES & SHELTER OF IOWA is a voluntary or charitable in Des Moines, IA. YOUTH EMERGENCY SERVICES & SHELTER OF IOWA NPI is 1114075561. The provider is registered as an organization entity type.

The provider's business location address is:

918 SE 11TH ST
DES MOINES, IA
ZIP 50309-324
Phone: (515) 243-7825
Fax: (515) 282-6162

The provider's authorized official is Stephen B Quirk .
The authorized official title is Executive Director and has the following contact phone number (515) 243-7825.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	251V00000X	Voluntary or Charitable				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0488007	MEDICAID	IOWA
2	1104471	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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