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Organization
GLENWOOD VOLUNTEER FIRE ASSOC INC
Active
Organization
GLENWOOD VOLUNTEER FIRE ASSOC INC
Active
Other names
GLENWOOD FIRE RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN L FIDLER EMT-B (BILLING CORRDINATOR)
(712) 527-2093
Entity
Organization
Contact information
Practice address
120 S WALNUT ST, GLENWOOD, IA 51534-1741
(712) 527-2093
(712) 527-4709
Mailing address
120 S WALNUT ST, GLENWOOD, IA 51534-1741
(712) 527-2093
(712) 527-4709
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2650700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252486
—
IA
01
—
49395
BLUE CROSS BLUE SHIELD IA
IA
01
—
52539
FED BLUE CROSS BLUE SHIEL
IA
01
—
590014576
PALMETTO GBA RR MEDICARE
IA
Enumeration date
06/27/2005
Last updated
10/20/2010
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