Organization
WATERVILLE FIRE DEPT VOLUNTEER RESCUE SQUAD
Active
Parent organization
ALLAMAKEE EMS ASSOCIATION
Other names
Waterville Ambulance Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLAMAKEE EMS ASSOCIATION
Authorized official
JEFF MITCHELL EMT-P (SERVICE DIRECTOR)
(563) 568-3411
Entity
Organization
Contact information
Practice address
84 MAIN STREET, WATERVILLE, IA 52170-7519
(563) 535-7261
Mailing address
40 FIRST STREET SE, WAUKON, IA 52172-2022
(563) 568-3411
(563) 568-6139
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2030800
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20816
BLUE CROSS & BLUE SHIELD
IA
Enumeration date
12/11/2006
Last updated
04/28/2009
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