Organization
CITY OF WATERLOO
Active
Other names
Waterloo Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HERNANDEZ (MEDICAL SUPERVISOR)
(319) 291-4279
Entity
Organization
Contact information
Practice address
425 E 3RD ST, WATERLOO, IA 50703-3511
(319) 291-4460
(319) 291-4279
Mailing address
425 E 3RD ST, WATERLOO, IA 50703-3511
(319) 291-4279
(888) 965-4620
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
IA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090217
—
IA
Enumeration date
11/03/2006
Last updated
07/21/2022
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