Organization
CITY OF KNOXVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICK SCHRAD (CITY MANAGER)
(641) 828-0550
Entity
Organization
Contact information
Practice address
305 S 3RD ST, KNOXVILLE, IA 50138-2255
(641) 828-0550
(641) 828-0555
Mailing address
305 S 3RD ST, KNOXVILLE, IA 50138-2255
(641) 828-0550
(641) 828-0555
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26308
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155499
—
IA
01
—
15549
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/26/2006
Last updated
08/22/2020
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