Healthcare Provider Details
I. General information
NPI: 1588720874
Provider Name (Legal Business Name): CITY OF DUNKERTON
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2006
Last Update Date: 05/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
991 JONS STREET
DUNKERTON IA
50626
US
IV. Provider business mailing address
PO BOX 100
DUNKERTON IA
50626-0100
US
V. Phone/Fax
- Phone: 319-230-0668
- Fax: 319-822-4472
- Phone: 319-822-4247
- Fax: 319-822-3383
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 0711 |
| License Number State | IA |
VIII. Authorized Official
Name:
JEFF
SEAMANS
Title or Position: DIRECTOR
Credential:
Phone: 319-230-0668