Provider Demographics
NPI:1982074464
Name:CITY OF HOPKINTON
Entity Type:Organization
Organization Name:CITY OF HOPKINTON
Other - Org Name:HOPKINTON EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MISSY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:CAC
Authorized Official - Phone:515-887-3553
Mailing Address - Street 1:115 1ST ST SE
Mailing Address - Street 2:PO BOX 154
Mailing Address - City:HOPKINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52237-7765
Mailing Address - Country:US
Mailing Address - Phone:563-926-2181
Mailing Address - Fax:563-926-2065
Practice Address - Street 1:208 WALNUT ST SE
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:IA
Practice Address - Zip Code:52237-7797
Practice Address - Country:US
Practice Address - Phone:563-926-2181
Practice Address - Fax:563-926-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22863003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport