MEDICARE: DENVER 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	2090700	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	12840	OTHER	IA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1558396275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER AMBULANCE SERVICE

Provider Business Mailing Address
First Line	:	230 TRANSIT ST
Second Line	:	P.O. BOX 471
City	:	DENVER
State	:	IA
Zip	:	50622-0471
Country	:	US
Telephone Number	:	319-984-5000
Fax Number	:	319-984-9190

Provider Business Practice Location Address
First Line	:	230 TRANSIT ST
Second Line	:
City	:	DENVER
State	:	IA
Zip	:	50622-0471
Country	:	US
Telephone Number	:	319-984-5000
Fax Number	:	319-984-9190

Authorized Official
Title or Position	:	BILLING MGR
Name	:	DAVID L RYHERD
Credential	:
Telephone Number	:	319-984-5000

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	03/15/2012

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Directions to “DENVER AMBULANCE SERVICE ” Practice Location

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