MEDICARE: GILMORE CITY 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	3416L0300X	Land Ambulance	2460100	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	:	1952467391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILMORE CITY INC

Provider Business Mailing Address
First Line	:	304 S GILMORE ST
Second Line	:
City	:	GILMORE CITY
State	:	IA
Zip	:	50541-8097
Country	:	US
Telephone Number	:	515-887-3553
Fax Number	:	515-887-2000

Provider Business Practice Location Address
First Line	:	304 S GILMORE ST
Second Line	:
City	:	GILMORE CITY
State	:	IA
Zip	:	50541-8097
Country	:	US
Telephone Number	:	515-887-3553
Fax Number	:	515-887-2000

Authorized Official
Title or Position	:	ACCOUNT MANAGER
Name	:	YALONDA N AMONSON
Credential	:
Telephone Number	:	515-887-3553

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	10/19/2007

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Directions to “GILMORE CITY INC ” Practice Location

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