Centralia Peosta Community Fire Department

LBN: Centralia Peosta Community Fire Department
Centralia Peosta Community Fire Department is an health care organization with primary practice located at 8579 Tennis Ln Box 93, Peosta IA 52068-9501. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Centralia Peosta Community Fire Department can be contacted via phone (888) 505-7563, or through Vaughan, Michael via phone (563) 213-2463.

Contact Information

Primary practice address
8579 Tennis Ln Box 93 Peosta IA 52068-9501
Phone: (888) 505-7563
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Michael
Phone: (563) 213-2463

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 2316100 Iowa

Profile Details

NPI number 1972583714
LBN Legal business name Centralia Peosta Community Fire Department
DBA Doing business as
Authorized official Vaughan, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2006
Last updated Jun 19th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972583714 NPPES
Iowa MEDICAID 0456822

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