Organization
WATERVILLE FIRE DEPT SQUAD
Active
Other names
Waterville Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN J MITCHELL (VICE PRESIDENT)
(563) 568-7347
Entity
Organization
Contact information
Practice address
121 MAIN ST, WATERVILLE, IA 52170-7521
(563) 568-7347
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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