Provider Demographics
NPI:1689898975
Name:BELLE PLAINE AREA AMBULANCE SERVICE INC
Entity type:Organization
Organization Name:BELLE PLAINE AREA AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-444-3808
Mailing Address - Street 1:1308 1/2 13TH STREET
Mailing Address - Street 2:
Mailing Address - City:BELLE PLAINE
Mailing Address - State:IA
Mailing Address - Zip Code:52208
Mailing Address - Country:US
Mailing Address - Phone:319-444-3808
Mailing Address - Fax:319-444-4459
Practice Address - Street 1:1308 1/2 13TH STREET
Practice Address - Street 2:
Practice Address - City:BELLE PLAINE
Practice Address - State:IA
Practice Address - Zip Code:52208
Practice Address - Country:US
Practice Address - Phone:319-444-3808
Practice Address - Fax:319-444-4459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2060800341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance