Organization
CITY OF CARTER LAKE
Active
Other names
CARTER LAKE RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN MOWERY (CITY CLERK)
(402) 572-4019
Entity
Organization
Contact information
Practice address
2911 N 9TH ST, CARTER LAKE, IA 51510-1501
(402) 572-4019
(402) 965-8594
Mailing address
950 LOCUST ST, CARTER LAKE, IA 51510-1529
(402) 572-4019
(402) 965-8594
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
08/22/2020
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