# OTTUMWA ER LLC

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

## Provider details

- **NPI number:** 1629312723
- **Authorized official:** STEPHEN L. PAGE (VICE PRESIDENT)
- **Authorized official phone:** (615) 844-9849

## Contact information

- **Practice address:** 1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
- **Practice address phone:** (641) 684-2402
- **Practice address fax:** (641) 684-2401
- **Mailing address:** 1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
- **Mailing address phone:** (641) 684-2402
- **Mailing address fax:** (641) 684-2401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 02/10/2014