Organization
SHENANDOAH AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT SELLS (CEO)
(712) 246-7100
Entity
Organization
Contact information
Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357
Mailing address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2730800
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228569
—
IA
Enumeration date
11/01/2006
Last updated
06/12/2017
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