Organization
TOWN OF MONDAMIN
Active
Other names
MONDAMIN FIRE & RESCUE INC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ANDERSON (CAPTAIN)
(402) 572-4019
Entity
Organization
Contact information
Practice address
602 MAPLE ST, MONDAMIN, IA 51557-2074
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2430400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262139
—
IA
01
—
49701
BLUE CROSS PROVIDER NO
IA
Enumeration date
02/14/2007
Last updated
08/27/2009
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