Town of Hospers

Organization Active NPI Ambulance · Hospers, IA

NPI 1366471419 · NPPES record last updated Jun 24, 2008

Key facts

NPI
1366471419
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
License
2840600 (IA)
Legal business name
TOWN OF HOSPERS
Practice address
100 3Rd Ave S
Hospers, IA 51238-0248
Phone
(877) 882-9911
Fax
(877) 882-9922
NPI assigned
Jul 1, 2006
Organization subpart
No

Authorized official

Name
Mrs. Michele Smith
Title
Account Representative
Phone
(877) 882-9911

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111214000585 IA Part B Supplier - Ambulance Service Supplier 4183899412 Practice locations: Hospers, IA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2840600 IA Yes

Addresses

Primary practice location

100 3Rd Ave S
Hospers, IA 51238-0248

Mailing address

100 3Rd Ave S
Hospers, IA 51238-7755
Phone (605) 882-9911

Other identifiers

IdentifierTypeStateIssuer
0130575MedicaidIA
13057OtherIABCBS

Other names

  • HOSPERS AMBULANCE SERVICE Doing business as

Other providers in Hospers, IA

All providers in Hospers, IA · Ambulance in Iowa

Sources for this page

Verify at the official NPI Registry.