MEDICARE: CITY OF ARLINGTON

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	2330900	IA

General Provider Information

NPI Number	:	1669717237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF ARLINGTON

Provider Business Mailing Address
First Line	:	647 1/2 MAIN ST
Second Line	:
City	:	ARLINGTON
State	:	IA
Zip	:	50606
Country	:	US
Telephone Number	:	563-633-5023
Fax Number	:

Provider Business Practice Location Address
First Line	:	647 1/2 MAIN ST
Second Line	:
City	:	ARLINGTON
State	:	IA
Zip	:	50606
Country	:	US
Telephone Number	:	563-633-5023
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JULIE ANDREAE
Credential	:
Telephone Number	:	563-920-4080

Provider Enumeration Date	:	12/07/2012
Last Update Date	:	12/07/2012

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Directions to “CITY OF ARLINGTON ” Practice Location

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