Organization
SABULA AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE ACKERMAN (TREASURER)
(563) 687-2432
Entity
Organization
Contact information
Practice address
201 VULCAN STREET, SABULA, IA 52070-0303
(563) 687-2432
(563) 687-2877
Mailing address
P. O. BOX 303, 201 VULCAN STREET, SABULA, IA 52070-0303
(563) 687-2432
(563) 687-2877
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2490400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064352
—
IA
01
—
21465
BLUE CROSS BLUE SHIELD IA
IA
01
—
421728331001
ILLINOIS DEPT HEALTHCARE
IA
01
—
P00432298
RAILROAD MEDICARE
IA
Enumeration date
04/03/2007
Last updated
12/10/2011
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