Healthcare Provider Details

I. General information

NPI: 1992721344
Provider Name (Legal Business Name): CITY OF TAMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 SIEGEL ST
TAMA IA
52339-2317
US

IV. Provider business mailing address

305 SIEGEL ST
TAMA IA
52339-2317
US

V. Phone/Fax

Practice location:
  • Phone: 641-484-2425
  • Fax: 641-484-2715
Mailing address:
  • Phone: 641-484-2425
  • Fax: 641-484-2715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2860500
License Number StateIA

VIII. Authorized Official

Name: MR. CHRISTOPHER T BEARDEN
Title or Position: MAYOR
Credential:
Phone: 641-484-2425