Provider Demographics
NPI:1457440521
Name:BATTLE CREEK COMMUNITY AMBULANCE
Entity Type:Organization
Organization Name:BATTLE CREEK COMMUNITY AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-365-4845
Mailing Address - Street 1:405 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:IA
Mailing Address - Zip Code:51006
Mailing Address - Country:US
Mailing Address - Phone:712-365-4840
Mailing Address - Fax:712-365-4808
Practice Address - Street 1:405 1ST ST.
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:IA
Practice Address - Zip Code:51006
Practice Address - Country:US
Practice Address - Phone:712-365-4840
Practice Address - Fax:712-365-4808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24701003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0285718Medicaid
IAI16926Medicare PIN