Provider Demographics
NPI:1508999491
Name:SAYLOR TWP TRUSTEES
Entity Type:Organization
Organization Name:SAYLOR TWP TRUSTEES
Other - Org Name:SAYLOR TOWNSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-PS
Authorized Official - Phone:515-289-1089
Mailing Address - Street 1:211 NW 54TH AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50313-1725
Mailing Address - Country:US
Mailing Address - Phone:515-289-1089
Mailing Address - Fax:515-289-1826
Practice Address - Street 1:211 NW 54TH AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-1725
Practice Address - Country:US
Practice Address - Phone:515-289-1089
Practice Address - Fax:515-289-1826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27716003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0436196Medicaid
IAI10464Medicare ID - Type Unspecified