Organization
PELLA COMMUNITY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALAN HIGGINBOTHAM (CHIEF)
(641) 628-1780
Entity
Organization
Contact information
Practice address
604 MAIN ST, BOX 911, PELLA, IA 50219-1718
(641) 628-1780
(641) 628-1478
Mailing address
604 MAIN ST, BOX 911, PELLA, IA 50219-0385
(641) 628-1780
(641) 628-1478
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2630900
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190561
—
IA
Enumeration date
01/09/2006
Last updated
08/05/2022
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