# MOVILLE AMBULANCE AND RESCUE SQUAD

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

## Provider details

- **NPI number:** 1942239884
- **Authorized official:** MRS. MICHELE SMITH (ACCOUNT REPRESENTATIVE)
- **Authorized official phone:** (877) 882-9911

## Contact information

- **Practice address:** 5 S 1ST STREET, MOVILLE, IA 51039
- **Practice address phone:** (877) 882-9911
- **Practice address fax:** (877) 882-9922
- **Mailing address:** 45907 SD HIGHWAY 22, PO BOX 19, CASTLEWOOD, SD 57223-5324
- **Mailing address phone:** (877) 882-9911
- **Mailing address fax:** (877) 882-9922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2970600 | IA | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 12/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0083923 | — | IA |
| 01 | — | 08392 | BCBS | IA |