Provider Demographics
NPI:1770604498
Name:TOWN OF COLLEGE SPRINGS
Entity type:Organization
Organization Name:TOWN OF COLLEGE SPRINGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:712-370-4012
Mailing Address - Street 1:503 MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE SPRINGS
Mailing Address - State:IA
Mailing Address - Zip Code:51637-9000
Mailing Address - Country:US
Mailing Address - Phone:712-582-3358
Mailing Address - Fax:
Practice Address - Street 1:503 MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE SPRINGS
Practice Address - State:IA
Practice Address - Zip Code:51637-9000
Practice Address - Country:US
Practice Address - Phone:712-582-3358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27303003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport