Provider Demographics
NPI:1588733570
Name:TOWN OF STUART
Entity type:Organization
Organization Name:TOWN OF STUART
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOVINETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-523-2400
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:211 E. FRONT ST.
Mailing Address - City:STUART
Mailing Address - State:IA
Mailing Address - Zip Code:50250
Mailing Address - Country:US
Mailing Address - Phone:515-523-2400
Mailing Address - Fax:515-523-2007
Practice Address - Street 1:211 EAST FRONT ST.
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250
Practice Address - Country:US
Practice Address - Phone:515-523-2400
Practice Address - Fax:515-523-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23905003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0074914Medicaid
IA07491Medicare PIN