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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