Organization Name: | COUNTY OF MADISON |
NPI Number: | 1114914819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TADD DAVIS (DIRECTOR) |
Mailing Address: | 1008 N John Wayne Dr Winterset |
State: | IA US |
Postal Code: | 502731233 |
Phone Number: | 5154622253 |
Fax Number: | 5154622255 |
NPI Enumeration Date: | 09/29/2005 |
NPI Last Update Date: | 05/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |