Organization
CITY OF TITONKA
Active
Other names
CITY OF TITONKA AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
AARON T BOYKEN (MAYOR)
(515) 928-3102
Entity
Organization
Contact information
Practice address
11 MAIN STREET NORTH, TITONKA, IA 50480-0382
(515) 928-2850
(515) 928-2950
Mailing address
PO BOX 382, TITONKA, IA 50480-0382
(515) 928-2850
(515) 928-2950
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2550500
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095943
—
IA
01
—
09594
MEDICARE PTAN
IA
Enumeration date
12/04/2006
Last updated
02/12/2013
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