Organization
CITY OF CLARKSVILLE
Active
Other names
CLARKSVILLE AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D BETTS (CITY CLERK/TREASURER)
(319) 278-4531
Entity
Organization
Contact information
Practice address
115 W SUPERIOR, CLARKSVILLE, IA 50619
(319) 278-4531
(319) 278-4941
Mailing address
115 W SUPERIOR, CLARKSVILLE, IA 50619
(319) 278-4531
(319) 278-4941
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2120300
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059055
—
IA
Enumeration date
10/05/2006
Last updated
08/22/2020
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