| Organization Name: | ESTHERVILLE AMBULANCE SERVICE INC. |
| NPI Number: | 1093896391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GENE MELVIN HAUKOOS (ADMINISTRATIVE DIR.) |
| Mailing Address: | 15 N 1st St Estherville |
| State: | IA US |
| Postal Code: | 513342101 |
| Phone Number: | 7123624221 |
| Fax Number: | 7123624221 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 04/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | PS-18-018-07 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |