Organization Name: | LEE COUNTY EMS AMBULANCE, INC. |
NPI Number: | 1205931086 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM YOUNG (CEO) |
Mailing Address: | 315 South Main Donnellson |
State: | IA US |
Postal Code: | 526250248 |
Phone Number: | 3198355912 |
Fax Number: | 3198355327 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 2560100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |