Organization
SLOAN COMMUNITY FIRE AND AMBULANCE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE SMITH (ACCOUNT REPRESENTATIVE)
(877) 882-9911
Entity
Organization
Contact information
Practice address
620 JOHNSON ST, SLOAN, IA 51055
(877) 882-9911
(877) 882-9922
Mailing address
620 JOHNSON ST, SLOAN, IA 51055-7738
(877) 882-9911
(877) 882-9922
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2971200
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260364
—
IA
01
—
16692
BCBS WELLMARK
IA
Enumeration date
11/27/2006
Last updated
07/26/2011
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