| Organization Name: | CITY OF EVANSDALE |
| NPI Number: | 1376610576 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENT SMOCK (AMBULANCE DIRECTOR) |
| Mailing Address: | 911 S Evans Rd Evansdale |
| State: | IA US |
| Postal Code: | 507071647 |
| Phone Number: | 3192336930 |
| Fax Number: | 3192748966 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 10/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2070400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |