Organization
PRIMGHAR
Active
Other names
Primghar Ambulance Team
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY L EWOLDT (DEPUTY CITY CLERK)
(712) 957-2435
Entity
Organization
Contact information
Practice address
360 3RD ST. SE, PRIMGHAR, IA 51245-0039
(712) 957-2435
(712) 957-5300
Mailing address
PO BOX 39, PRIMGHAR, IA 51245-0039
(712) 957-2435
(712) 957-5300
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2710400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128280
—
IA
Enumeration date
11/06/2006
Last updated
05/31/2013
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