Organization
CITY OF PELLA
Active
Parent organization
CITY OF PELLA
Other names
City of Pella Community Ambulance
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF PELLA
Authorized official
MR. GREGORY ALAN HIGGINBOTHAM CCP (CHIEF)
(641) 628-1780
Entity
Organization
Contact information
Practice address
604 MAIN ST, PELLA, PELLA, IA 50219
(641) 628-1780
(641) 628-1478
Mailing address
PO BOX 385, PELLA, IA 50219-0385
(641) 628-1780
(641) 628-1478
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3416L0300X
TAXONOMY
IA
Enumeration date
07/06/2022
Last updated
08/26/2022
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