Provider Demographics
NPI:1619507415
Name:COUNTY OF WASHINGTON
Entity Type:Organization
Organization Name:COUNTY OF WASHINGTON
Other - Org Name:WASHINGTON COUNTY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:319-653-2047
Mailing Address - Street 1:PO BOX 889
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-0889
Mailing Address - Country:US
Mailing Address - Phone:319-653-2047
Mailing Address - Fax:319-653-7788
Practice Address - Street 1:1120 N 8TH AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-2618
Practice Address - Country:US
Practice Address - Phone:319-653-2047
Practice Address - Fax:319-653-3344
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON COUNTY AMBULANCE SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-21
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance