Healthcare Provider Details

I. General information

NPI: 1063580397
Provider Name (Legal Business Name): AREA EMERGENCY MEDICAL AND TRANSPORTATION SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 03/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E GREENE ST
POSTVILLE IA
52162-7771
US

IV. Provider business mailing address

PO BOX 641880
OMAHA NE
68164-7880
US

V. Phone/Fax

Practice location:
  • Phone: 563-864-7250
  • Fax: 888-506-4589
Mailing address:
  • Phone: 402-572-4019
  • Fax: 888-506-4589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2030300
License Number StateIA

VIII. Authorized Official

Name: MRS. BARBARA ANN VAUGHN
Title or Position: AGENT
Credential:
Phone: 402-991-7866