Organization
CITY OF ANKENY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK PROWANT (DEPUTY CHIEF OF EMS)
(515) 965-6472
Entity
Organization
Contact information
Practice address
120 NW ASH DR, ANKENY, IA 50023-1554
(515) 965-6469
(515) 964-2107
Mailing address
410 W 1ST ST, ANKENY, IA 50023-1557
(515) 965-6469
(515) 964-2107
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2770200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162230
—
IA
01
—
16223
BLUE CROSS BLUE SHIELD IA
IA
Enumeration date
03/09/2006
Last updated
06/15/2021
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