Organization
CITY OF BLAIRSTOWN
Active
Other names
Blairstown Fire Dept or Blairstown Ambulance /EMS or Blairstown Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA SUE BRITTAIN PARAMEDIC (DIRECTOR)
(319) 454-0078
Entity
Organization
Contact information
Practice address
205 MAIN ST NE, BLAIRSTOWN, IA 52209
(319) 454-0078
(319) 454-6709
Mailing address
309 LOCUST ST NW, PO BOX 270, BLAIRSTOWN, IA 52209
(319) 454-0078
(319) 454-6709
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2060900
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004654218
AETNA PIN#
TX
01
—
001417
PRINCIPAL LIFE INS CO
IA
05
—
0165654
—
IA
01
—
41094
WELLMARK BC/BS
IA
01
—
590006388
PALMETTO GBA-RR MEDICARE
GA
01
—
C 16565
UNITED AMER INS CO
TX
01
—
J09900019506
SIERRA
NV
Enumeration date
06/14/2006
Last updated
06/23/2008
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