Provider Demographics
NPI:1861553885
Name:CITY OF MAPLETON
Entity type:Organization
Organization Name:CITY OF MAPLETON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MAYOR & AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:STRECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-881-1351
Mailing Address - Street 1:513 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MAPLETON
Mailing Address - State:IA
Mailing Address - Zip Code:51034-1214
Mailing Address - Country:US
Mailing Address - Phone:712-881-1351
Mailing Address - Fax:712-881-2726
Practice Address - Street 1:104 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:IA
Practice Address - Zip Code:51034-1061
Practice Address - Country:US
Practice Address - Phone:712-881-1351
Practice Address - Fax:712-881-2726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA25470OtherWELLMARK BC/BS
IA0254706Medicaid
IA590014677Medicare PIN
IA0254706Medicaid