Organization
CITY OF CLIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GRAHAM (CITY CLERK)
(515) 223-6220
Entity
Organization
Contact information
Practice address
8505 HARBACH BLVD, CLIVE, IA 50325-1077
(515) 223-7723
Mailing address
8800 HICKMAN RD, CLIVE, IA 50325-5338
(515) 223-1595
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2770300
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081562
—
IA
01
—
07315
WELLMARK BC BS NUMBER
IA
Enumeration date
01/23/2007
Last updated
01/27/2022
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