Provider Demographics
NPI:1215094354
Name:WEST DES MOINES COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:WEST DES MOINES COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-633-5072
Mailing Address - Street 1:3550 MILLS CIVIC PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-5556
Mailing Address - Country:US
Mailing Address - Phone:515-633-5072
Mailing Address - Fax:515-633-5103
Practice Address - Street 1:3550 MILLS CIVIC PKWY
Practice Address - Street 2:LEARNING RESOURCE CENTER
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-5556
Practice Address - Country:US
Practice Address - Phone:515-633-5072
Practice Address - Fax:515-633-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0237446Medicaid