Organization
LISBON - MT VERNON AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W ALLIN PHD (BOARD PRESIDENT)
(319) 895-8103
Entity
Organization
Contact information
Practice address
730 1ST ST E, MOUNT VERNON, IA 52314-1573
(319) 895-8531
(319) 895-8531
Mailing address
213 1ST ST W, MOUNT VERNON, IA 52314-1604
(319) 895-6633
(319) 895-6108
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2570700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013672
—
IA
Enumeration date
01/10/2006
Last updated
08/22/2020
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