Healthcare Provider Details

I. General information

NPI: 1881741742
Provider Name (Legal Business Name): CITY OF ALLISON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 7TH ST
ALLISON IA
50602
US

IV. Provider business mailing address

PO BOX 647
ALLISON IA
50602-0647
US

V. Phone/Fax

Practice location:
  • Phone: 515-887-3553
  • Fax: 515-887-2000
Mailing address:
  • Phone: 319-267-2245
  • Fax: 319-267-2245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2120100
License Number StateIA

VIII. Authorized Official

Name: ANGIE WEICHERT
Title or Position: ACCOUNT MANAGER
Credential:
Phone: 515-887-3553