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Organization

PERCIVAL VOLUNTEER FIREMEN INCORPORATED

Active
Other names
Percival Fire And Rescue
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE BOLANDER (RESCUE CAPTAIN)
(712) 374-2010
Entity
Organization

Contact information

Practice address
2065 195TH AVE, PERCIVAL, IA 51648-6010
(712) 374-2010
(712) 529-4218
Mailing address
2530 BLUFF RD, HAMBURG, IA 51640-5036
(712) 374-2010
(712) 529-4218

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2360600
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0474528
IA
05
10025250300
NE
01
37529
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/10/2006
Last updated
08/22/2020
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