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

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

If you do not have the information required for online payment or need assistance, please call 515-867-5035 to speak with a billing specialist.
Registration Information
Run Number:*
Patient Last Name:*
Patient First Name:*
Date of Call:*
Amount:* $

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