Organization
MARMAC EMERGENCY SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMBER L MARTIN (PRESIDENT/CEO)
(563) 873-3896
Entity
Organization
Contact information
Practice address
205 4TH STREET, MCGREGOR, IA 52157-0386
(563) 873-3896
(563) 873-3896
Mailing address
P.O. BOX 386, MC GREGOR, IA 52157-0386
(563) 873-3896
(563) 873-3896
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2220300
IA
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010517
ADVOCARE MCHMO
—
01
—
0416164
HERITAGE MA
—
05
—
0416164
—
IA
01
—
37185
BCBS IA
IA
01
—
426004957011
VALLEY HEALTH PLAN
—
01
—
IA0100
JOHN DEERE
—
01
—
P00123785
MEDICARE RAILROAD
—
Enumeration date
05/24/2006
Last updated
12/26/2012
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