NPI 1033252994

Town of Mondamin

Organisation Land Ambulance Mondamin, IA

Practice location

Address: 602 Maple St, Mondamin, IA 51557-2074
Phone: (402) 572-4019
Fax: (402) 965-8594
Mailing address: PO Box 641880, Omaha, NE 68164-7880

Authorised official

Name: Jeff Anderson
Title: Captain
Phone: (402) 572-4019

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 2430400 (IA)

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Registry record

NPI: 1033252994
Entity type: Organization
NPI issued: 14 Feb 2007
Record last updated: 27 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.