Organization
IRON COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY R SETZER EMT PARAMEDIC (MANAGER)
(573) 244-5966
Entity
Organization
Contact information
Practice address
15 VINE STREET, VIBURNUM, MO 65566
(573) 244-5966
(573) 244-5959
Mailing address
PO BOX 331, 15 VINE STREET, VIBURNUM, MO 65566-0331
(573) 244-5966
(573) 244-5959
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
093017
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386868032
—
MO
05
—
800551608
—
MO
Enumeration date
04/12/2007
Last updated
07/15/2008
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