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LOGAN VOLUNTEER FIRE & RESCUE ASSOCIATION NPI 1730296245


NPI Information

NPI: 1730296245
Provider Name: LOGAN VOLUNTEER FIRE & RESCUE ASSOCIATION

Doing Business As: LOGAN FIRE RESCUE ASSOCIATION

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 16D2091526

Address:
112 NORTH THIRD AVE
LOGAN, IA
ZIP 51546
Phone: (712) 644-2579
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LOGAN VOLUNTEER FIRE & RESCUE ASSOCIATION is a land transport ambulance in Logan, IA. LOGAN VOLUNTEER FIRE & RESCUE ASSOCIATION NPI is 1730296245. The provider is registered as an organization entity type.
The provider Is Doing Business As Logan Fire Rescue Association.

The provider's business location address is:

112 NORTH THIRD AVE
LOGAN, IA
ZIP 51546
Phone: (712) 644-2579
Fax: (712) 644-2579

The provider's authorized official is Derek Bucy .
The authorized official title is Treasurer and has the following contact phone number (712) 644-2579.

The CLIA number assigned to this NPI record is 16D2091526 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 3/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport2430200IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10231712MEDICAIDIOWA
2I3459MEDICARE PIN
3I3459MEDICARE ID-TYPE UNSPECIFIEDIOWA
41730296245OTHERIOWABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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