Provider Demographics
NPI:1437373156
Name:COUNTY OF OSCEOLA
Entity Type:Organization
Organization Name:COUNTY OF OSCEOLA
Other - Org Name:OSCEOLA COUNTY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDITOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-754-2241
Mailing Address - Street 1:309 6TH ST
Mailing Address - Street 2:P.O. BOX 15
Mailing Address - City:SIBLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51249-1619
Mailing Address - Country:US
Mailing Address - Phone:712-754-4130
Mailing Address - Fax:712-754-4130
Practice Address - Street 1:205 4TH STREET
Practice Address - Street 2:
Practice Address - City:SIBLEY
Practice Address - State:IA
Practice Address - Zip Code:51249-1619
Practice Address - Country:US
Practice Address - Phone:712-754-4130
Practice Address - Fax:712-754-4130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27202003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0035675Medicaid
IA0035675Medicaid