Organization
MOVILLE AMBULANCE AND RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE SMITH (ACCOUNT REPRESENTATIVE)
(877) 882-9911
Entity
Organization
Contact information
Practice address
5 S 1ST STREET, MOVILLE, IA 51039
(877) 882-9911
(877) 882-9922
Mailing address
45907 SD HIGHWAY 22, PO BOX 19, CASTLEWOOD, SD 57223-5324
(877) 882-9911
(877) 882-9922
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2970600
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083923
—
IA
01
—
08392
BCBS
IA
Enumeration date
07/02/2006
Last updated
12/19/2011
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