Organization
BENNETT VOLUNTEER AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN CAROL LYON (TREASURER)
(563) 890-2350
Entity
Organization
Contact information
Practice address
145 MAIN ST, BENNETT, IA 52721
(563) 890-2361
Mailing address
PO BOX 45, BENNETT, IA 52721
(563) 890-2350
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063446
—
IA
Enumeration date
01/23/2006
Last updated
08/15/2007
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