Dunlap Fire and Rescue
Organization Active NPI Land Ambulance · Dunlap, IA
NPI 1003051681 · NPPES record last updated May 17, 2013
Key facts
- NPI
- 1003051681
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 2430100 (IA)
- Legal business name
- DUNLAP FIRE AND RESCUE
- Practice address
- 715 Iowa Ave
Dunlap, IA 51529-1335 - Phone
- (712) 643-5721
- Fax
- (712) 643-1004
- NPI assigned
- Dec 10, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- CITY OF DUNLAP
Authorized official
- Name
- Joyce M Cogdill
- Title
- Rescue Captain
- Phone
- (712) 643-2203
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081204000110 | IA | Part B Supplier - Ambulance Service Supplier | 9133280563 | Practice locations: Dunlap, IA |
National Provider Directory
Locations
715 Iowa Ave
Dunlap, IA 51529
Phone (712) 643-5721
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2430100 | IA | Yes |
Addresses
Primary practice location
715 Iowa Ave
Dunlap, IA 51529-1335
Mailing address
715 Iowa Ave
Dunlap, IA 51529-1335
Phone (712) 643-5721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0494856 | Medicaid | IA |
Other providers in Dunlap, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.