MEDICARE: BELLE PLAINE AREA AMBULANCE SERVICE 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	2060800	IA

General Provider Information

NPI Number	:	1689898975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLE PLAINE AREA AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	1308 1/2 13TH STREET
Second Line	:
City	:	BELLE PLAINE
State	:	IA
Zip	:	52208
Country	:	US
Telephone Number	:	319-444-3808
Fax Number	:	319-444-4459

Provider Business Practice Location Address
First Line	:	1308 1/2 13TH STREET
Second Line	:
City	:	BELLE PLAINE
State	:	IA
Zip	:	52208
Country	:	US
Telephone Number	:	319-444-3808
Fax Number	:	319-444-4459

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. DANIEL JOHNSON
Credential	:
Telephone Number	:	319-444-3808

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	11/09/2015

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