Organization
CITY OF ANITA
Active
Other names
Anita Vol. Fire & Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE MURPHY (CHIEF)
(402) 572-4019
Entity
Organization
Contact information
Practice address
208 WALNUT STREET, ANITA, IA 50020
(402) 572-4019
Mailing address
208 WALNUT STREET, ANITA, IA 50020
(402) 572-4019
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2150100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00882
BLUE CROSS PROVIDER NUMBER
IA
01
—
1093999120
NPI
IA
Enumeration date
12/26/2007
Last updated
03/10/2009
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