Organization
VIRGINIA TOWNSHIP FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT BAUGHMAN (RESCUE CAPTAIN)
(515) 577-8987
Entity
Organization
Contact information
Practice address
506 WEST STREET, NEW VIRGINIA, IA 50210-0025
(515) 577-8987
Mailing address
506 WEST STREET, NEW VIRGINIA, IA 50210
(515) 577-8987
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095463
—
IA
01
—
09921
WELLMARK BC BS NUMBER
IA
Enumeration date
03/16/2007
Last updated
06/30/2010
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