Provider Demographics
NPI:1821217951
Name:CALHOUN COUNTY EMS
Entity Type:Organization
Organization Name:CALHOUN COUNTY EMS
Other - Org Name:CALHOUN COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, EMERGENCY SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:MUSGRAVE
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:712-297-8619
Mailing Address - Street 1:220 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWELL CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50579
Mailing Address - Country:US
Mailing Address - Phone:712-297-8619
Mailing Address - Fax:712-297-8618
Practice Address - Street 1:220 E HIGH ST
Practice Address - Street 2:
Practice Address - City:ROCKWELL CITY
Practice Address - State:IA
Practice Address - Zip Code:50579-1114
Practice Address - Country:US
Practice Address - Phone:712-297-8619
Practice Address - Fax:712-297-8618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2130900341600000X
IA2131000341600000X
IA2131100341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance