Organization
M-F-L AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE C MILLARD (CFO)
(563) 928-6975
Entity
Organization
Contact information
Practice address
108 S PAGE ST, MONONA, IA 52159-0065
(563) 539-2963
Mailing address
108 NORTH PAGE STREET, MONONA, IA 52159-0065
(641) 330-4584
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2221000
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145763
—
IA
01
—
14576
WELLMARK-BCBS OF IOWA
IA
Enumeration date
06/27/2006
Last updated
07/18/2024
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