Provider Demographics
NPI:1548419112
Name:CITY OF IOLA
Entity Type:Organization
Organization Name:CITY OF IOLA
Other - Org Name:IOLA FIRE AND EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:HUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-365-4910
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:2 WEST JACKSON
Mailing Address - City:IOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66749
Mailing Address - Country:US
Mailing Address - Phone:620-365-4910
Mailing Address - Fax:620-365-4918
Practice Address - Street 1:408 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:IOLA
Practice Address - State:KS
Practice Address - Zip Code:66749-2353
Practice Address - Country:US
Practice Address - Phone:620-365-4972
Practice Address - Fax:620-365-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS855341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance