Organization
CITY OF CLARENCE
Active
Other names
Clarence Community Ambulance Assn.
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY HANSEN (ASST. COORDINATOR)
(563) 452-4440
Entity
Organization
Contact information
Practice address
411 LOMBARD ST., CLARENCE, IA 52216
(563) 452-4440
(563) 452-4368
Mailing address
PO BOX 367, CLARENCE, IA 52216-0367
(563) 452-4440
(563) 452-4368
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2160700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421062575
FED ID#
IA
Enumeration date
08/03/2005
Last updated
06/25/2008
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