Provider Demographics
NPI:1003051681
Name:DUNLAP FIRE AND RESCUE
Entity Type:Organization
Organization Name:DUNLAP FIRE AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESCUE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:COGDILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-643-2203
Mailing Address - Street 1:715 IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:IA
Mailing Address - Zip Code:51529-1335
Mailing Address - Country:US
Mailing Address - Phone:712-643-5721
Mailing Address - Fax:712-643-1004
Practice Address - Street 1:715 IOWA AVE
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:IA
Practice Address - Zip Code:51529-1335
Practice Address - Country:US
Practice Address - Phone:712-643-5721
Practice Address - Fax:712-643-1004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF DUNLAP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-10
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24301003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0494856Medicaid
09028Medicare PIN