Organization
DAKOTA CITY VOLUNTEER FIRE DEPARTMENT INC. OF DAKOTA CITY, NEBRASKA
Active
Organization
DAKOTA CITY VOLUNTEER FIRE DEPARTMENT INC. OF DAKOTA CITY, NEBRASKA
Active
Other names
DAKOTA CITY FIRE DEPARTMENT, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK B MOORE (RESCUE CAPTAIN)
(402) 987-3409
Entity
Organization
Contact information
Practice address
1516 MYRTLE ST, DAKOTA CITY, NE 68731
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0586818
IOWA MEDICAID PROVIDER NO
NE
01
—
09266
BLUE CROSS PROVIDER NO
NE
05
—
4760427800
—
NE
01
—
590121425
RR MEDICARE
NE
Enumeration date
10/14/2005
Last updated
01/05/2018
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