Organization
CITY OF ELLSWORTH
Active
Other names
ELLSWORTH FIRE AND EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE SMITH (ACCOUNT REPRESENTATIVE)
(877) 882-9911
Entity
Organization
Contact information
Practice address
1528 DEWITT ST, ELLSWORTH, IA 50075-5006
(877) 882-9911
(877) 882-9922
Mailing address
PO BOX 310, ELLSWORTH, IA 50075-0310
(605) 882-9911
(605) 882-9922
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2406200
IA
3416L0300X
Land Ambulance
2406200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486381
—
IA
01
—
38556
BCBS
IA
Enumeration date
07/01/2006
Last updated
06/27/2017
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