Organization
MIDWEST AMBULANCE SERVICE OF IOWA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM EUGENE CHAPMAN (PRESIDENT)
(515) 252-1721
Entity
Organization
Contact information
Practice address
308 PARK ST, GRINNELL, IA 50112-2538
(515) 252-1721
(515) 252-1725
Mailing address
2535 106TH ST, URBANDALE, IA 50322-3766
(515) 252-1721
(515) 252-1725
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2790700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1218537
—
IA
01
—
590008319
RAILROAD MEDICARE
IA
Enumeration date
01/26/2007
Last updated
09/05/2008
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