Organization
THE AMBASSADOR SIDNEY, INC.
Active
Other names
The Ambassador Sidney
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA SCHROEDER (CHIEF EXECUTIVE OFFICER)
(402) 873-8507
Entity
Organization
Contact information
Practice address
115 MAIN ST, SIDNEY, IA 51652-6069
(712) 374-2693
(712) 374-3064
Mailing address
115 MAIN ST, SIDNEY, IA 51652-6069
(712) 374-2693
(712) 374-3064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
360156
IA
225X00000X
Occupational Therapist
360156
IA
235Z00000X
Speech-Language Pathologist
360156
IA
314000000X
Skilled Nursing Facility
Primary
360156
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809640
—
IA
01
—
165474
WELLMARK BLUE CROSS & BLUE SHIELD
IA
Enumeration date
07/29/2006
Last updated
07/08/2014
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