Organization
GREENE VOLUNTEER AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FIDDICK (BOOKKEEPER)
(641) 816-4153
Entity
Organization
Contact information
Practice address
201 NORTH 2ND ST., GREENE, IA 50636-0266
(641) 823-4131
Mailing address
PO BOX 266, GREENE, IA 50636-0266
(641) 823-4131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2120700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136408
—
IA
Enumeration date
11/29/2006
Last updated
09/20/2007
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