Organization
CHICKASAW AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J COOK (PRESIDENT)
(563) 237-6414
Entity
Organization
Contact information
Practice address
121 BUCKEYE STREET, FREDERICKSBURG, IA 50630
(563) 237-6414
(563) 237-6414
Mailing address
121 BUCKEYE STREET, FREDERICKSBURG, IA 50630
(563) 237-6414
(563) 237-6414
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011122
—
IA
Enumeration date
02/14/2007
Last updated
08/22/2020
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