MEDICARE: TOWN OF STRAWBERRY POINT

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	2220500	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	:	1528124831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF STRAWBERRY POINT

Provider Business Mailing Address
First Line	:	PO BOX 279
Second Line	:
City	:	STRAWBERRY POINT
State	:	IA
Zip	:	52076-0279
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 COMMERCIAL ST
Second Line	:
City	:	STRAWBERRY POINT
State	:	IA
Zip	:	52076
Country	:	US
Telephone Number	:	515-887-3553
Fax Number	:

Authorized Official
Title or Position	:	CITY ADMINISTRATOR
Name	:	MRS. DEANNA LYNN DEMENT
Credential	:	CITY ADMINISTRATOR
Telephone Number	:	563-933-4482

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	07/21/2008

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Directions to “TOWN OF STRAWBERRY POINT ” Practice Location

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