Organization
CITY OF HIAWATHA
Active
Other names
Hiawatha Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE NESSLAGE (AMBULANCE DIRECTOR)
(319) 393-4180
Entity
Organization
Contact information
Practice address
60 10TH AVENUE, HIAWATHA, IA 52233
(515) 887-3553
Mailing address
81 EMMONS ST, HIAWATHA, IA 52233-1608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2578800
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39174
—
IA
Enumeration date
01/24/2007
Last updated
10/19/2007
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