1427040500 NPI number — CITY OF COLFAX

Table of content: (NPI 1427040500)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427040500 NPI number — CITY OF COLFAX

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF COLFAX
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427040500
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CITY OF COLFAX
Provider Second Line Business Mailing Address:
15 E HOWARD ST
Provider Business Mailing Address City Name:
COLFAX
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50054-1020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-674-4096
Provider Business Mailing Address Fax Number:
515-674-4996

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CITY OF COLFAX
Provider Second Line Business Practice Location Address:
15 E HOWARD ST
Provider Business Practice Location Address City Name:
COLFAX
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50054-1020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-674-4096
Provider Business Practice Location Address Fax Number:
515-674-4996
Provider Enumeration Date:
08/16/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
EARLES
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
CITY CLERK
Authorized Official Telephone Number:
515-674-4096

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0101535 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0101535 . This is a "HERITAGE JOHN DEERE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 590003213 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02247 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0101535 . This is a "IOWA MEDICAID ENTERPRISE" identifier . This identifiers is of the category "OTHER".