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Organization

CITY OF CARTER LAKE

Active
Other names
CARTER LAKE RESCUE
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP NEWTON (FIRE & SAFETY COORDINATOR)
(531) 895-5853
Entity
Organization

Contact information

Practice address
2911 N 9TH ST, CARTER LAKE, IA 51510-1501
(402) 572-4019
(402) 965-8594
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2781000
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0439927
IA
01
09455
BLUE CROSS PROVIDER NO
NE
05
10025191000
NE
01
37769
BLUE CROSS PROVIDER NO
IA
01
P00174799
RAILROAD MEDICARE NO
Enumeration date
01/03/2006
Last updated
07/29/2026
Update your record

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