Organization
CITY OF MONTICELLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG HERMAN (CITY ADMINISTRATOR)
(319) 465-3577
Entity
Organization
Contact information
Practice address
220 E SOUTH ST, MONTICELLO, IA 52310-1920
(605) 882-9911
(515) 839-5354
Mailing address
220 E SOUTH ST, MONTICELLO, IA 52310-1920
(605) 882-9911
(515) 839-5354
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2530200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085209
—
IA
01
—
08520
BCBS
IA
Enumeration date
02/27/2007
Last updated
02/19/2018
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