Organization Name: | COMMUNITY AMBULANCE SERVICE OF PRESTON IOWA |
NPI Number: | 1174532246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH J ANDERSON (DIRECTOR OF OPERATIONS) |
Mailing Address: | 42 N Simpson St Preston |
State: | IA US |
Postal Code: | 520697730 |
Phone Number: | 5636873301 |
Fax Number: | 5636893303 |
NPI Enumeration Date: | 08/06/2006 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 2490600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |