Healthcare Provider Details

I. General information

NPI: 1932281292
Provider Name (Legal Business Name): CITY OF BRONSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 PINE ST
BRONSON IA
51007-0142
US

IV. Provider business mailing address

PO BOX 142
BRONSON IA
51007-0142
US

V. Phone/Fax

Practice location:
  • Phone: 712-948-3708
  • Fax:
Mailing address:
  • Phone: 712-948-3708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2971700
License Number StateIA

VIII. Authorized Official

Name: MACHELE DUNNING
Title or Position: AMBULANCE DIRECTOR
Credential:
Phone: 712-948-3708