# TOWN OF PETERSON

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

## Provider details

- **NPI number:** 1447325345
- **Authorized official:** MRS. MICHELE SMITH (ACCOUNT MANAGER)
- **Authorized official phone:** (877) 882-9911

## Contact information

- **Practice address:** 101 MAIN ST, PETERSON, IA 51047-7709
- **Practice address phone:** (712) 295-6401
- **Practice address fax:** (712) 295-6705
- **Mailing address:** 101 MAIN ST, PETERSON, IA 51047-7709
- **Mailing address phone:** (712) 295-6401
- **Mailing address fax:** (712) 295-6705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2210200 | IA | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 03/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0235432 | — | IA |
| 01 | — | 19206 | BLUE CROSS | IA |