Provider Demographics
NPI:1922187244
Name:CITY OF SHELDON
Entity Type:Organization
Organization Name:CITY OF SHELDON
Other - Org Name:SHELDON COMMUNITY AMBULANCE TEAM
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-324-4651
Mailing Address - Street 1:416 9TH ST
Mailing Address - Street 2:PO BOX 276
Mailing Address - City:SHELDON
Mailing Address - State:IA
Mailing Address - Zip Code:51201-1565
Mailing Address - Country:US
Mailing Address - Phone:712-324-4651
Mailing Address - Fax:712-324-4601
Practice Address - Street 1:416 9TH ST
Practice Address - Street 2:
Practice Address - City:SHELDON
Practice Address - State:IA
Practice Address - Zip Code:51201-1565
Practice Address - Country:US
Practice Address - Phone:712-324-4651
Practice Address - Fax:712-324-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27107003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0132357Medicaid
IA0132357Medicaid