Organization
CITY OF JOHNSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM KROHSE (FIRE CHIEF)
(515) 276-5182
Entity
Organization
Contact information
Practice address
6015 NW 62ND AVENUE, JOHNSTON, IA 50131-0410
(515) 276-5182
(515) 334-5390
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2770800
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487959
—
IA
01
—
09411
WELLMARK BCBS
IA
Enumeration date
07/29/2006
Last updated
04/20/2008
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