# LISBON - MT VERNON AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447239322
- **Authorized official:** DR. CRAIG W ALLIN PHD (BOARD PRESIDENT)
- **Authorized official phone:** (319) 895-8103

## Contact information

- **Practice address:** 730 1ST ST E, MOUNT VERNON, IA 52314-1573
- **Practice address phone:** (319) 895-8531
- **Practice address fax:** (319) 895-8531
- **Mailing address:** 213 1ST ST W, MOUNT VERNON, IA 52314-1604
- **Mailing address phone:** (319) 895-6633
- **Mailing address fax:** (319) 895-6108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2570700 | IA | Yes |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0013672 | — | IA |