Organization
CITY OF EVANSDALE
Active
Other names
EVANSDALE FIRE AND RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
KENT SMOCK (AMBULANCE DIRECTOR)
(319) 233-6930
Entity
Organization
Contact information
Practice address
911 S EVANS RD, EVANSDALE, IA 50707-1647
(319) 233-6930
(319) 274-8966
Mailing address
123 N EVANS RD, EVANSDALE, IA 50707-1115
(319) 232-6683
(319) 232-1586
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2070400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093773
—
IA
01
—
09377
BCBS
IA
Enumeration date
11/30/2006
Last updated
02/16/2023
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