Organization
CITY OF SANBORN
Active
Other names
Sanborn Community Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE KOONTZ (AMBULANCE DIRECTOR)
(712) 757-4305
Entity
Organization
Contact information
Practice address
410 EAST FIRST ST., SANBORN, IA 51248
(712) 930-3842
(712) 930-3060
Mailing address
PO BOX 548, 102 MAIN ST., SANBORN, IA 51248-0548
(712) 930-3842
(712) 930-3060
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2710500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099150
—
IA
01
—
09915
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/31/2007
Last updated
08/22/2020
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