Provider Demographics
NPI:1174673651
Name:CITY OF STANWOOD
Entity Type:Organization
Organization Name:CITY OF STANWOOD
Other - Org Name:STANWOOD AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:COPPESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-480-5536
Mailing Address - Street 1:PO BOX 641880
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7880
Mailing Address - Country:US
Mailing Address - Phone:402-572-4019
Mailing Address - Fax:402-965-8594
Practice Address - Street 1:209 E. BROADWAY
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:IA
Practice Address - Zip Code:52337-0146
Practice Address - Country:US
Practice Address - Phone:563-942-3340
Practice Address - Fax:563-942-2045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA695773416L0300X
IA21602003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
07249Medicare UPIN