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Organization

LOGAN VOLUNTEER FIRE & RESCUE ASSOCIATION

Active
Other names
Logan Fire Rescue Association
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY CHARBONNEAU (EMS CHIEF)
(531) 895-5853
Entity
Organization

Contact information

Practice address
112 NORTH THIRD AVE, LOGAN, IA 51546
(712) 644-2579
(712) 644-2579
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(531) 895-5853
(877) 343-0131

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2430200
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0231712
IA
01
1730296245
BLUE CROSS
IA
Enumeration date
08/23/2006
Last updated
05/16/2025
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