1144386806 NPI number — NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED

Table of content: (NPI 1144386806)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144386806 NPI number — NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED
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:
Provider Other Organization Name Type Code:
6
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:
1144386806
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 E MARKET ST
Provider Second Line Business Mailing Address:
BOX 62
Provider Business Mailing Address City Name:
NEW SHARON
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50207-9604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
641-637-2217
Provider Business Mailing Address Fax Number:
641-637-2596

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 E MARKET ST
Provider Second Line Business Practice Location Address:
BOX 62
Provider Business Practice Location Address City Name:
NEW SHARON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50207-9604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-637-2217
Provider Business Practice Location Address Fax Number:
641-637-2596
Provider Enumeration Date:
12/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRIGGS
Authorized Official First Name:
DUSTIN
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
AMBULANCE DIRECTOR
Authorized Official Telephone Number:
641-637-2217

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 42 600 5036 . This is a "FEDERAL ID #" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 0059295 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".




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