Organization
CITY OF FAIRBANK
Active
Other names
Fairbank Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY J GORDON (FIRE CHIEF)
(563) 380-9519
Entity
Organization
Contact information
Practice address
301 GROVE ST, FAIRBANK, IA 50629-8650
(319) 635-2981
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(888) 506-4589
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078691
—
IA
Enumeration date
02/09/2007
Last updated
07/02/2019
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