Healthcare Provider Details

I. General information

NPI: 1467599571
Provider Name (Legal Business Name): URBANA AREA AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 12/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 WEST SUNSET
URBANA IA
53245-9013
US

IV. Provider business mailing address

PO BOX 351
URBANA IA
52345-0351
US

V. Phone/Fax

Practice location:
  • Phone: 319-443-3293
  • Fax: 319-443-2693
Mailing address:
  • Phone: 319-443-3293
  • Fax: 319-433-2693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2060700
License Number StateIA

VIII. Authorized Official

Name: JAMES EDWARDS GETTY
Title or Position: DIRECTOR
Credential: EMT-B
Phone: 319-981-9205