Provider Demographics
NPI:1861932774
Name:WOODBURY COUNTY EMERGENCY SERVICES
Entity type:Organization
Organization Name:WOODBURY COUNTY EMERGENCY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-876-2212
Mailing Address - Street 1:121 DEER RUN TRL
Mailing Address - Street 2:
Mailing Address - City:CLIMBING HILL
Mailing Address - State:IA
Mailing Address - Zip Code:51015-8124
Mailing Address - Country:US
Mailing Address - Phone:712-876-2212
Mailing Address - Fax:712-876-2228
Practice Address - Street 1:121 DEER RUN TRL
Practice Address - Street 2:
Practice Address - City:CLIMBING HILL
Practice Address - State:IA
Practice Address - Zip Code:51015-8124
Practice Address - Country:US
Practice Address - Phone:712-876-2212
Practice Address - Fax:712-876-2228
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOODBURY COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance