Organization
CITY OF TRAER
Active
Other names
Traer Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN FULLER EMT (CAPTAIN)
(319) 478-2084
Entity
Organization
Contact information
Practice address
649 2ND ST, TRAER, IA 50675-1230
(319) 478-2084
(319) 478-2084
Mailing address
649 2ND ST, TRAER, IA 50675-1230
(319) 478-2084
(319) 478-2084
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2860700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073700
—
IA
Enumeration date
10/19/2005
Last updated
12/21/2009
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