1770620619 NPI number — HINTON FIRE RESCUE INC

Table of content: (NPI 1770620619)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770620619 NPI number — HINTON FIRE RESCUE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HINTON FIRE RESCUE INC
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:
HINTON AMBULANCE
Provider Other Organization Name Type Code:
5
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:
1770620619
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 333
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HINTON
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51024-0123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-947-4044
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HINTON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51024-0333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-947-4044
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BECK
Authorized Official First Name:
DANNY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
AMBULANCE DIRECTOR
Authorized Official Telephone Number:
712-947-4044

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  2750200 , 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: 02799 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




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