Organization
LOREN J. VOS TREAS
Active
Other names
SULLY FIRE DEPT
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN J VOS (SECRETARY TREASURER)
(641) 891-5000
Entity
Organization
Contact information
Practice address
601 5TH ST, SULLY, IA 50251-0256
(641) 891-5000
Mailing address
PO BOX 256, SULLY, IA 50251-0256
(641) 891-5000
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022525
HERITAGE JOHN DEERE
—
05
—
0022525
—
IA
01
—
02252
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/26/2005
Last updated
06/03/2014
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