MEDICARE: WASHINGTON COUNTY AMBULANCE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	2920100	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376537027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON COUNTY AMBULANCE, INC.

Provider Business Mailing Address
First Line	:	1120 N 8TH AVE
Second Line	:	PO BOX 371
City	:	WASHINGTON
State	:	IA
Zip	:	52353-2618
Country	:	US
Telephone Number	:	319-653-2047
Fax Number	:	319-653-3344

Provider Business Practice Location Address
First Line	:	1120 N 8TH AVE
Second Line	:	BOX 371
City	:	WASHINGTON
State	:	IA
Zip	:	52353-0371
Country	:	US
Telephone Number	:	319-653-2047
Fax Number	:	319-653-3344

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD L YOUNG
Credential	:
Telephone Number	:	319-653-2047

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	11/05/2007

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Directions to “WASHINGTON COUNTY AMBULANCE, INC. ” Practice Location

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