Organization
TOWN OF GRANVILLE
Active
Other names
GRANVILLE AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN HANSEN (CITY CLERK)
(712) 727-3365
Entity
Organization
Contact information
Practice address
740 BROAD ST, GRANVILLE, IA 51022
(877) 882-9911
(877) 882-9922
Mailing address
740 BROAD ST, GRANVILLE, IA 51022
(877) 882-9911
(877) 882-9922
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2840800
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223768
—
IA
01
—
14804
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
10/23/2006
Last updated
04/29/2012
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