Organization
BI-COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY R BOGE EMT (OFFICE MANAGER)
(563) 875-8628
Entity
Organization
Contact information
Practice address
1503 6TH ST SE, DYERSVILLE, IA 52040
(563) 875-8628
(563) 875-8628
Mailing address
PO BOX 27, 1503 6TH ST SE, DYERSVILLE, IA 52040
(563) 875-8628
(563) 875-8628
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2310400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1173732
—
IA
01
—
17373
WELLMARK
—
Enumeration date
08/16/2006
Last updated
12/18/2008
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