Organization
CITY OF UTE
Active
Other names
Ute Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY J WISE (ACCOUNT MANAGER)
(515) 887-3553
Entity
Organization
Contact information
Practice address
158 E MAIN ST, UTE, IA 51060-0000
(712) 885-2571
Mailing address
169 W MAIN ST, UTE, IA 51060-7705
(712) 885-2571
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136739
—
IA
01
—
13673
WELLMARK BC BS NUMBER
IA
Enumeration date
03/16/2007
Last updated
11/17/2011
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