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Organization

GLENWOOD VOLUNTEER FIRE ASSOC INC

Active
Other names
GLENWOOD FIRE RESCUE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARILYN L FIDLER EMT-B (BILLING CORRDINATOR)
(712) 527-2093
Entity
Organization

Contact information

Practice address
120 S WALNUT ST, GLENWOOD, IA 51534-1741
(712) 527-2093
(712) 527-4709
Mailing address
120 S WALNUT ST, GLENWOOD, IA 51534-1741
(712) 527-2093
(712) 527-4709

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2650700
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0252486
IA
01
49395
BLUE CROSS BLUE SHIELD IA
IA
01
52539
FED BLUE CROSS BLUE SHIEL
IA
01
590014576
PALMETTO GBA RR MEDICARE
IA
Enumeration date
06/27/2005
Last updated
10/20/2010
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