Organization
FARRAGUT FIRE & RESCUE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SHIRLEY (RESCUE CAPTAIN)
(712) 385-8319
Entity
Organization
Contact information
Practice address
503 HARTFORD AVE, FARRAGUT, IA 51639-2014
(712) 385-8661
(712) 385-8426
Mailing address
PO BOX 60, FARRAGUT, IA 51639-0060
(712) 385-8661
(712) 385-8426
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2360700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233007
—
IA
01
—
26238
BCBS OF IA
IA
Enumeration date
06/28/2006
Last updated
04/01/2008
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