Provider Demographics
NPI:1134299852
Name:TOWN OF UNION
Entity Type:Organization
Organization Name:TOWN OF UNION
Other - Org Name:UNION EMERGENCY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-486-5391
Mailing Address - Street 1:308 CENTER ST
Mailing Address - Street 2:PO BOX 93
Mailing Address - City:UNION
Mailing Address - State:IA
Mailing Address - Zip Code:50258-7752
Mailing Address - Country:US
Mailing Address - Phone:641-486-5391
Mailing Address - Fax:
Practice Address - Street 1:308 CENTER STREET
Practice Address - Street 2:BOX 93
Practice Address - City:UNION
Practice Address - State:IA
Practice Address - Zip Code:50258
Practice Address - Country:US
Practice Address - Phone:641-486-5391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24205003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0027516Medicaid
IA02020Medicare ID - Type Unspecified