Organization
PERCIVAL VOLUNTEER FIREMENT INC.
Active
Other names
Percival Fire and Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LYNN BOLANDER (RESCUE CAPTAIN)
(712) 374-2010
Entity
Organization
Contact information
Practice address
2065 195TH AVE, PERCIVAL, IA 51648-6010
(712) 529-4218
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 991-0719
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474528
—
IA
Enumeration date
03/05/2007
Last updated
05/06/2013
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