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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