Organization
SOUTHEAST IOWA AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL JOHN BAILEY (DIRECTOR/CEO)
(319) 466-0735
Entity
Organization
Contact information
Practice address
4165 NAPLES AVE SW, STE 5, IOWA CITY, IA 52240-8624
(319) 466-0735
(319) 466-0740
Mailing address
4165 NAPLES AVE SW, STE 5, IOWA CITY, IA 52240-8624
(319) 466-0735
(319) 466-0740
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2520400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170050
—
IA
Enumeration date
06/10/2005
Last updated
08/22/2020
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