Provider Demographics
NPI:1174568380
Name:CITY OF CARLISLE
Entity type:Organization
Organization Name:CITY OF CARLISLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-989-3311
Mailing Address - Street 1:135 N 2ND STREET
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:IA
Mailing Address - Zip Code:50047
Mailing Address - Country:US
Mailing Address - Phone:515-967-2216
Mailing Address - Fax:
Practice Address - Street 1:135 2ND ST.
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:IA
Practice Address - Zip Code:50047-7810
Practice Address - Country:US
Practice Address - Phone:515-989-3311
Practice Address - Fax:515-989-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA29101003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA04225Medicare ID - Type Unspecified