Organization
CITY OF PANORA
Active
Other names
PANORA EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX OLSON EMT-B (PRESIDENT)
(641) 755-2164
Entity
Organization
Contact information
Practice address
102 NW 2ND ST, PANORA, IA 50216-1032
(641) 755-2164
(641) 755-3204
Mailing address
PO BOX 98, PANORA, IA 50216-0098
(641) 755-2164
(641) 755-3204
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2390400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154906
—
IA
01
—
15490
BLUE CROSS NUMBER
IA
Enumeration date
12/07/2006
Last updated
01/11/2013
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