Provider Demographics
NPI:1477697506
Name:1CITY OF BAYARD
Entity Type:Organization
Organization Name:1CITY OF BAYARD
Other - Org Name:BAYARD AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SEC/TREASURE
Authorized Official - Prefix:
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-651-2484
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:BAYARD
Mailing Address - State:IA
Mailing Address - Zip Code:50029-0014
Mailing Address - Country:US
Mailing Address - Phone:712-651-2584
Mailing Address - Fax:
Practice Address - Street 1:402 2ND ST.
Practice Address - Street 2:
Practice Address - City:BAYARD
Practice Address - State:IA
Practice Address - Zip Code:50029
Practice Address - Country:US
Practice Address - Phone:712-651-2584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23907003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA12218OtherBLUE CROSS BLUE SHIELD
IA0122184Medicaid
IA0122184Medicaid