1326048786 NPI number — CITY OF WALNUT

Table of content: (NPI 1326048786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326048786 NPI number — CITY OF WALNUT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF WALNUT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WALNUT FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326048786
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 326
Provider Second Line Business Mailing Address:
229 ANTIQUE CITY DRIVE
Provider Business Mailing Address City Name:
WALNUT
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51577-0326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-784-3443
Provider Business Mailing Address Fax Number:
712-784-3511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 PEARL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALNUT
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-784-3443
Provider Business Practice Location Address Fax Number:
712-784-3511
Provider Enumeration Date:
07/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ABEL
Authorized Official First Name:
TERRI
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
CITY CLERK
Authorized Official Telephone Number:
712-784-3443

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  2780800 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0221820 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 22182 . This is a "BLUE CROSS PROVIDER NUMBER" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com