Provider Demographics
NPI:1467599571
Name:URBANA AREA AMBULANCE SERVICE
Entity Type:Organization
Organization Name:URBANA AREA AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARDS
Authorized Official - Last Name:GETTY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:319-981-9205
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IA
Mailing Address - Zip Code:52345-0351
Mailing Address - Country:US
Mailing Address - Phone:319-443-3293
Mailing Address - Fax:319-433-2693
Practice Address - Street 1:806 WEST SUNSET
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IA
Practice Address - Zip Code:53245-9013
Practice Address - Country:US
Practice Address - Phone:319-443-3293
Practice Address - Fax:319-443-2693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20607003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0218610Medicaid
IA13683Medicare PIN