| Organization Name: | CITY OF EAGLE GROVE |
| NPI Number: | 1093889644 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATT MADSON (EMS DIRECTOR) |
| Mailing Address: | 210 E Broadway St Eagle Grove |
| State: | IA US |
| Postal Code: | 505331813 |
| Phone Number: | 5154484686 |
| Fax Number: | 5154483761 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2990300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |