Organization
CITY OF GRANGER
Active
Parent organization
CITY OF GRANGER
Other names
Granger Community Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF GRANGER
Authorized official
MRS. PATTY A TIERNAN EMT (CAPTAIN)
(515) 999-2210
Entity
Organization
Contact information
Practice address
1906 MAIN STREET, GRANGER, IA 50109
(515) 999-2210
(515) 999-2338
Mailing address
1906 MAIN STREET, P.O. BOX 391, GRANGER, IA 50109
(515) 999-2210
(515) 999-2338
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2250500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0731661
—
IA
Enumeration date
07/07/2006
Last updated
06/19/2008
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