Organization
CITY OF CLEAR LAKE CITY CLERK
Active
Other names
CLEAR LAKE AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT FLORY (CITY ADMINISTRATOR)
(641) 357-5267
Entity
Organization
Contact information
Practice address
511 1ST AVE N, CLEAR LAKE, IA 50428-1801
(641) 357-2186
(641) 357-7172
Mailing address
204 1ST AVE NW, PO BOX 480, WEST BEND, IA 50597-0480
(641) 357-2186
(641) 357-7172
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2170400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492504
—
IA
Enumeration date
07/22/2006
Last updated
10/22/2007
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