Organization
SIDNEY VOLUNTEER FIRE & RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY JO SHIRLEY (TREASURER)
(712) 374-2204
Entity
Organization
Contact information
Practice address
903 INDIANA ST, SIDNEY, IA 51652-8034
(712) 374-2204
(402) 572-4019
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 991-0719
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2360300
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100987
—
IA
05
—
0186213
—
IA
01
—
18621
BLUE CROSS BLUE SHIELD
IA
01
—
590009309
RAILROAD MEDICARE
IA
01
—
590009309
RAILROAD MEDICARE
—
01
—
610713100
US DEPT OF LABOR
—
01
—
8181742
UNITED HEALTHCARE
—
Enumeration date
05/13/2006
Last updated
04/04/2013
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