# BLAKESBURG COMMUNITY FIRE BOARD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770170425
- **Authorized official:** MR. CURTIS WOTEN EMT (ASST. SERVICE DIRECTOR/CAPTAIN)
- **Authorized official phone:** (641) 680-2888

## Contact information

- **Practice address:** 5621 MONROE WAPELLO RD, BLAKESBURG, IA 52536-8000
- **Practice address phone:** (641) 680-2888
- **Mailing address:** 5621 MONROE WAPELLO RD, BLAKESBURG, IA 52536-8000
- **Mailing address phone:** (641) 680-2888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |
| 3416L0300X | Land Ambulance | — | — | — |

## Other

- **Enumeration date:** 12/29/2020
- **Last updated:** 02/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0452458 | — | IA |
| 01 | — | 07161 | BCBS | IA |