POLK COUNTY NPI 1740579101

NPI Information

POLK COUNTY is a family nurse practitioner in Des Moines, IA. POLK COUNTY NPI is 1740579101. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Polk County Health Department - Family Practice Clinic.

The provider's business location address is:

1907 CARPENTER AVE
DES MOINES, IA
ZIP 50314-310
Phone: (515) 286-3798
Fax: (515) 286-2033

The provider's authorized official is Richard R Kozin .
The authorized official title is Director and has the following contact phone number (515) 286-3798.

The CLIA number assigned to this NPI record is 16D0667028 - public health laboratory with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/6/2011 and was last updated on 2/25/2015.

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:

Other Identifiers

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

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