CITY OF PRAIRIE CITY; NPI #1003887316

Contact Information

CITY OF PRAIRIE CITY

203 E. JEFFERSON ST.
PRAIRIE CITY, IA 50228-0607

Phone: 515-994-2649
Fax: 515-994-2376
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CITY OF PRAIRIE CITY

NPI # 1003887316

LBN Legal business name CITY OF PRAIRIE CITY

Authorized official CARL VAN DER KAMP - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 01/27/2006

Last updated 11/18/2011 - About 15 years ago

Identifiers

IA	License #	2500500
IA	Medicaid	0022129

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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