Healthcare Provider Details

I. General information

NPI: 1689898975
Provider Name (Legal Business Name): BELLE PLAINE AREA AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 11/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 1/2 13TH STREET
BELLE PLAINE IA
52208
US

IV. Provider business mailing address

1308 1/2 13TH STREET
BELLE PLAINE IA
52208
US

V. Phone/Fax

Practice location:
  • Phone: 319-444-3808
  • Fax: 319-444-4459
Mailing address:
  • Phone: 319-444-3808
  • Fax: 319-444-4459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number2060800
License Number StateIA

VIII. Authorized Official

Name: MR. DANIEL JOHNSON
Title or Position: DIRECTOR
Credential:
Phone: 319-444-3808