Organization
CITY OF PACIFIC JUNCTION
Active
Other names
PACIFIC JUNCTION FIRE & RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MAYO (DIRECTOR)
(712) 622-8177
Entity
Organization
Contact information
Practice address
205 3RD ST, PACIFIC JUNCTION, IA 51561-0337
(515) 887-3553
(515) 887-2000
Mailing address
PO BOX 337, PACIFIC JUNCTION, IA 51561-0337
(712) 622-8177
(712) 622-8400
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2650400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013953
—
IA
01
—
01395
BLUE CROSS BLUE SHIELD
IA
05
—
10025347200
—
NE
05
—
200369430A
—
KS
01
—
8100234
UNITED HEALTHCARE
—
05
—
9011250
—
SD
01
—
P00018356
RAILROAD MEDICARE
—
Enumeration date
05/12/2006
Last updated
05/21/2013
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