# CITY OF KINGSLEY

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

## Provider details

- **NPI number:** 1528120334
- **Authorized official:** MARY T GENTILE (AUTHORIZED AGENT)
- **Authorized official phone:** (860) 257-7080

## Contact information

- **Practice address:** 207 EAST 1ST STREET, KINGSLEY, IA 51028
- **Practice address phone:** (712) 378-3769
- **Practice address fax:** (712) 378-3601
- **Mailing address:** PO BOX 290184, WETHERSFIELD, CT 06129-0184
- **Mailing address phone:** (860) 257-7080
- **Mailing address fax:** (860) 563-3403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2750300 | IA | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/10/2015