City of Clive
1900 NW 114th St
Clive, IA 50325
Phone: 515-223-6220
Online Ambulance/EMS Bill
1 Select
Notes:

Please complete the form below using the information found on your bill.  

If you do not have the information required for online pyament or need assistance, please call 515-867-5035 to speak with a billing specialist.

Registration Information
Patient First Name:*
Patient Last Name:*
Run Number:*
Date of Call:*
Amount:* $

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