# CITY OF SANBORN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanborn Community Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053458521
- **Authorized official:** ANNE KOONTZ (AMBULANCE DIRECTOR)
- **Authorized official phone:** (712) 757-4305

## Contact information

- **Practice address:** 410 EAST FIRST ST., SANBORN, IA 51248
- **Practice address phone:** (712) 930-3842
- **Practice address fax:** (712) 930-3060
- **Mailing address:** PO BOX 548, 102 MAIN ST., SANBORN, IA 51248-0548
- **Mailing address phone:** (712) 930-3842
- **Mailing address fax:** (712) 930-3060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2710500 | IA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0099150 | — | IA |
| 01 | — | 09915 | BLUE CROSS BLUE SHIELD | IA |