Healthcare Provider Details

I. General information

NPI: 1598770455
Provider Name (Legal Business Name): CARROLL COUNTY COUNTY AUDITOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 03/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 EAST 3RD ST
CARROLL IA
51401
US

IV. Provider business mailing address

203 EAST 3RD ST
CARROLL IA
51401
US

V. Phone/Fax

Practice location:
  • Phone: 712-792-1335
  • Fax: 712-792-8025
Mailing address:
  • Phone: 712-792-1335
  • Fax: 712-792-8025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2140100
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2140200
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2140300
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2140400
License Number StateIA

VIII. Authorized Official

Name: MR. DARRELL GENE BAKER
Title or Position: DIRECTOR
Credential:
Phone: 712-792-1335