Organization
CITY OF EAGLE GROVE
Active
Other names
CITY OF EAGLE GROVE AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MADSON (EMS DIRECTOR)
(515) 448-4686
Entity
Organization
Contact information
Practice address
210 E BROADWAY ST, EAGLE GROVE, IA 50533-1813
(515) 448-4686
(515) 448-3761
Mailing address
PO BOX 165, EAGLE GROVE, IA 50533-0165
(515) 448-4686
(515) 448-3761
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2990300
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057059
—
IA
Enumeration date
11/17/2006
Last updated
08/22/2020
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