Organization
GA COMBINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PONCE (MANAGER)
(515) 570-8738
Entity
Organization
Contact information
Practice address
704 AVENUE C, FORT DODGE, IA 50501-4511
(515) 302-9550
Mailing address
704 AVENUE C, FORT DODGE, IA 50501-4511
(515) 302-9550
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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