Organization
TOWN OF STATE CENTER
Active
Other names
State Center Fire & EMS
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY M PFANTZ (CHIEF)
(641) 483-2823
Entity
Organization
Contact information
Practice address
115 E MAIN, STATE CENTER, IA 50247-7765
(641) 483-2823
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 991-7866
(888) 506-4589
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2646000
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2646000
STATE LICENSE
IA
Enumeration date
07/27/2018
Last updated
07/27/2018
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