| Organization Name: | IRON COUNTY AMBULANCE DISTRICT |
| NPI Number: | 1497932107 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN QUEEN (PRESIDENT) |
| Mailing Address: | 115 South Mccune Street Pilot Knob |
| State: | MO US |
| Postal Code: | 63663 |
| Phone Number: | 5735463951 |
| Fax Number: | 5732445959 |
| NPI Enumeration Date: | 01/24/2008 |
| NPI Last Update Date: | 01/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 093017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |