Organization
AVOCA VOLUNTEER FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MARKHAM MD (MEDICAL DIRECTOR)
(712) 544-2511
Entity
Organization
Contact information
Practice address
212 W CROCKER ST, AVOCA, IA 51521
(712) 343-2424
(712) 343-4304
Mailing address
PO BOX 246, 201 N ELM, AVOCA, IA 51521-0246
(712) 343-2424
(712) 343-4304
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
2780100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271668
—
IA
01
—
10025249000
STATE OF NEBRASKA
NE
Enumeration date
02/13/2006
Last updated
11/05/2009
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