MEDICARE: URBANA AREA AMBULANCE SERVICE

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	3416L0300X	Land Ambulance	2060700	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

General Provider Information

NPI Number	:	1467599571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBANA AREA AMBULANCE SERVICE

Provider Business Mailing Address
First Line	:	PO BOX 351
Second Line	:
City	:	URBANA
State	:	IA
Zip	:	52345-0351
Country	:	US
Telephone Number	:	319-443-3293
Fax Number	:	319-433-2693

Provider Business Practice Location Address
First Line	:	806 WEST SUNSET
Second Line	:
City	:	URBANA
State	:	IA
Zip	:	53245-9013
Country	:	US
Telephone Number	:	319-443-3293
Fax Number	:	319-443-2693

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JAMES EDWARDS GETTY
Credential	:	EMT-B
Telephone Number	:	319-981-9205

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	12/08/2008

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Directions to “URBANA AREA AMBULANCE SERVICE ” Practice Location

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