Organization
JEFFERSON COUNTY
Active
Other names
Jefferson County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY HEISEL (DIRECTOR)
(641) 209-3610
Entity
Organization
Contact information
Practice address
1900 W BURLINGTON AVE, FAIRFIELD, IA 52556-2628
(641) 209-3610
(641) 209-3612
Mailing address
1900 W BURLINGTON AVE, FAIRFIELD, IA 52556-2628
(641) 209-3610
(641) 209-3611
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
05/09/2024
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