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Organization
CITY OF CLARENCE
Active
Organization
CITY OF CLARENCE
Active
Other names
Clarence Community Ambulance Assn.
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY HANSEN (ASST. COORDINATOR)
(563) 452-4440
Entity
Organization
Contact information
Practice address
411 LOMBARD ST., CLARENCE, IA 52216
(563) 452-4440
(563) 452-4368
Mailing address
PO BOX 367, CLARENCE, IA 52216-0367
(563) 452-4440
(563) 452-4368
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2160700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421062575
FED ID#
IA
Enumeration date
08/03/2005
Last updated
06/25/2008
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