Provider Demographics
NPI:1457596405
Name:BI COUNTY AMBULANCE
Entity Type:Organization
Organization Name:BI COUNTY AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOGE
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:563-875-8628
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:1503 6TH ST SE
Mailing Address - City:DYERSVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52040-0027
Mailing Address - Country:US
Mailing Address - Phone:563-875-8628
Mailing Address - Fax:563-875-2764
Practice Address - Street 1:1503 6TH ST SE
Practice Address - Street 2:
Practice Address - City:DYERSVILLE
Practice Address - State:IA
Practice Address - Zip Code:52040-2054
Practice Address - Country:US
Practice Address - Phone:563-875-8628
Practice Address - Fax:563-875-2764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23104003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport