CITY OF ELLSWORTH; NPI #1699704734

Contact Information

CITY OF ELLSWORTH

1528 DEWITT ST
ELLSWORTH, IA 50075-5006

Phone: 877-882-9911
Fax: 877-882-9922
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulance	341600000X	59	Ambulance Service Provider
Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CITY OF ELLSWORTH

NPI # 1699704734

LBN Legal business name CITY OF ELLSWORTH

Authorized official MICHELE SMITH - (ACCOUNT REPRESENTATIVE)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/01/2006

Last updated 06/27/2017 - About 9 years ago

Identifiers

IA	License #	2406200
IA	Medicaid	0486381
IA	Other	38556	BCBS

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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