Organization
HEARTLAND EMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUCK USKAVITCH (EXECUTIVE DIRECTOR)
(563) 582-7661
Entity
Organization
Contact information
Practice address
N2930 STATE ROAD 22, WAUTOMA, WI 54982-5267
(920) 787-2291
(920) 787-4033
Mailing address
367 CEDAR CROSS RD, DUBUQUE, IA 52003-7730
(563) 582-7661
(920) 787-4033
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2310300
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416172
—
IA
05
—
80455200
—
WI
Enumeration date
05/10/2006
Last updated
08/22/2020
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