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Organization

FONDA CITY OF

Active
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Organization

FONDA CITY OF

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHYLLIS MENKE (CITY CLERK)
(712) 288-4466
Entity
Organization

Contact information

Practice address
104 W SECOND ST, FONDA, IA 50540-0367
(712) 288-4466
(712) 288-6633
Mailing address
104 W SECOND ST, FONDA, IA 50540-0367
(712) 288-4466
(712) 288-6633

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2760100
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03693
WELLMARK
—
Enumeration date
10/17/2007
Last updated
01/21/2008
About Stedi
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  • Eligibility checks