Provider Demographics
NPI:1215093661
Name:CITY OF LAURENS
Entity type:Organization
Organization Name:CITY OF LAURENS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-841-4526
Mailing Address - Street 1:272 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:IA
Mailing Address - Zip Code:50554-1274
Mailing Address - Country:US
Mailing Address - Phone:712-841-4526
Mailing Address - Fax:712-841-4611
Practice Address - Street 1:260 N 3RD ST
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:IA
Practice Address - Zip Code:50554-1216
Practice Address - Country:US
Practice Address - Phone:712-841-4526
Practice Address - Fax:712-841-4611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA76-300-276100001341600000X
IA27610003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0037010Medicaid
IA0037010Medicaid