Organization Name: | CITY OF BONDURANT |
NPI Number: | 1023238615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER JAYE BOGAARDS (EMS DIRECTOR) |
Mailing Address: | 200 2nd St Ne Bondurant |
State: | IA US |
Postal Code: | 500351021 |
Phone Number: | 5159674902 |
Fax Number: | 5159674902 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | 2771800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |