Organization
COUNTY OF LYON
Active
Other names
LYON COUNTY AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY LEMAN (ACCOUNT MANAGER)
(515) 887-3553
Entity
Organization
Contact information
Practice address
410 BOONE STREET, ROCK RAPIDS, IA 51246-1538
(712) 472-2521
Mailing address
206 S 2ND AVE, ROCK RAPIDS, IA 51246-1538
(712) 472-3713
(712) 472-3800
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2600100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067280
—
IA
01
—
06728
BLUE CROSS BLUE SHIELD
IA
05
—
1214047-00
—
WY
05
—
333267500
—
MN
01
—
590010653
RAILROAD MEDICARE
IA
05
—
9001780
—
SD
Enumeration date
06/24/2005
Last updated
02/04/2010
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