Organization
CITY OF WAUKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF KOOISTRA (CITY MANAGER)
(515) 987-4522
Entity
Organization
Contact information
Practice address
230 HIGHWAY 6, WAUKEE, IA 50263-5004
(515) 987-4522
Mailing address
230 HIGHWAY 6, WAUKEE, IA 50263-5004
(515) 987-4522
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232413
—
IA
01
—
42879
WELLMARK BC BS NUMBER
IA
Enumeration date
02/12/2007
Last updated
08/22/2020
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