Organization
FOREST CITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE RAYHONS (DIRECTOR)
(641) 585-4634
Entity
Organization
Contact information
Practice address
105 HIGHWAY 69 SOUTH, FOREST CITY, IA 50436-1702
(641) 585-4634
(717) 635-6176
Mailing address
PO BOX 281, FOREST CITY, IA 50436-0281
(641) 585-4634
(717) 635-6176
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2950200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087700
—
IA
01
—
08770
BLUE CROSS
IA
Enumeration date
01/12/2007
Last updated
12/12/2016
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