Provider Demographics
NPI:1861969578
Name:CITY OF CENTERVILLE
Entity type:Organization
Organization Name:CITY OF CENTERVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-437-4339
Mailing Address - Street 1:PO BOX 578
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-0578
Mailing Address - Country:US
Mailing Address - Phone:641-437-4339
Mailing Address - Fax:641-437-1498
Practice Address - Street 1:314 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544-2238
Practice Address - Country:US
Practice Address - Phone:641-856-2314
Practice Address - Fax:641-437-1498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport