Provider Demographics
NPI:1235202284
Name:MORNING SUN COMMUNITY AMBULANCE SERVICE
Entity Type:Organization
Organization Name:MORNING SUN COMMUNITY AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-868-7721
Mailing Address - Street 1:P.O. BOX 174
Mailing Address - Street 2:10NE 1ST ST.
Mailing Address - City:MORNING SUN
Mailing Address - State:IA
Mailing Address - Zip Code:52640
Mailing Address - Country:US
Mailing Address - Phone:319-868-7721
Mailing Address - Fax:319-868-7908
Practice Address - Street 1:10NE 1ST ST.
Practice Address - Street 2:
Practice Address - City:MORNING SUN
Practice Address - State:IA
Practice Address - Zip Code:52640
Practice Address - Country:US
Practice Address - Phone:319-868-7721
Practice Address - Fax:319-868-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA25802003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0260802Medicaid
IA0260802Medicaid