Organization
SCRANTON FIRE RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL CRAIG JOHNSON EMTB (PRESIDENT)
(515) 391-9430
Entity
Organization
Contact information
Practice address
1006 MAIN ST, SCRANTON, IA 51462-8511
(515) 370-4564
(515) 386-8098
Mailing address
1006 MAIN ST, PO BOX 114, SCRANTON, IA 51462-8511
(515) 370-4564
(515) 386-8098
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
23705
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268813
—
IA
01
—
31427
WELLMARK BLUE CROSS
IA
01
—
590015269
RAILROAD MEDICARE
IA
Enumeration date
03/17/2006
Last updated
05/18/2011
Update your record
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