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Organization
CITY OF ELLSWORTH
Active
Organization
CITY OF ELLSWORTH
Active
Other names
ELLSWORTH FIRE AND EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE SMITH (ACCOUNT REPRESENTATIVE)
(877) 882-9911
Entity
Organization
Contact information
Practice address
1528 DEWITT ST, ELLSWORTH, IA 50075-5006
(877) 882-9911
(877) 882-9922
Mailing address
PO BOX 310, ELLSWORTH, IA 50075-0310
(605) 882-9911
(605) 882-9922
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2406200
IA
3416L0300X
Land Ambulance
2406200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486381
—
IA
01
—
38556
BCBS
IA
Enumeration date
07/01/2006
Last updated
06/27/2017
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