Organization
CITY OF WALNUT
Active
Other names
Walnut Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RENAE WOOD (DEPUTY CITY CLERK)
(531) 895-5853
Entity
Organization
Contact information
Practice address
500 PEARL ST, WALNUT, IA 51577
(712) 784-3443
(712) 784-3511
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2780800
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221820
—
IA
01
—
22182
BLUE CROSS PROVIDER NUMBER
IA
Enumeration date
07/28/2005
Last updated
08/15/2025
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