Healthcare Provider Details

I. General information

NPI: 1669984324
Provider Name (Legal Business Name): CITY OF SIOUX CITY ACCOUNTING DIVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 DOUGLAS ST
SIOUX CITY IA
51101-1200
US

IV. Provider business mailing address

PO BOX 447 ATTN: FIRE DEPARTMENT
SIOUX CITY IA
51102
US

V. Phone/Fax

Practice location:
  • Phone: 712-279-6314
  • Fax: 712-279-6106
Mailing address:
  • Phone: 712-279-6314
  • Fax: 712-279-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number2972500
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2972500
License Number StateIA

VIII. Authorized Official

Name: MR. ROBERT K PADMORE
Title or Position: CITY MANAGER
Credential:
Phone: 712-279-6136