Organization
TOWN OF PIERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE SMITH (ACCOUNT MANAGER)
(877) 882-9911
Entity
Organization
Contact information
Practice address
514 2ND ST, PIERSON, IA 51048
(712) 375-5015
(712) 375-5015
Mailing address
PO BOX 106, PIERSON, IA 51048-0106
(712) 375-5015
(712) 375-5015
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2970700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202283
—
IA
01
—
20228
BCBS
IA
Enumeration date
07/03/2006
Last updated
03/06/2017
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