Organization
CASINO CAB CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMAS HAMMERL (OWNER)
(712) 322-4575
Entity
Organization
Contact information
Practice address
712 S 15TH ST, COUNCIL BLUFFS, IA 51501-6190
(712) 322-4575
(712) 256-9033
Mailing address
712 S 15TH ST, COUNCIL BLUFFS, IA 51501-6190
(712) 322-4575
(712) 256-9033
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
512AG5373
IA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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