Provider Demographics
NPI:1073764007
Name:CITY OF CAMANCHE
Entity Type:Organization
Organization Name:CITY OF CAMANCHE
Other - Org Name:CAMANCHE VOLUNTEER FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHUTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-259-1112
Mailing Address - Street 1:720 9TH AVE
Mailing Address - Street 2:PO BOX 77
Mailing Address - City:CAMANCHE
Mailing Address - State:IA
Mailing Address - Zip Code:52730-1445
Mailing Address - Country:US
Mailing Address - Phone:563-259-1112
Mailing Address - Fax:563-259-8146
Practice Address - Street 1:720 9TH AVE
Practice Address - Street 2:
Practice Address - City:CAMANCHE
Practice Address - State:IA
Practice Address - Zip Code:52730-1445
Practice Address - Country:US
Practice Address - Phone:563-259-1112
Practice Address - Fax:563-259-8146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2230200341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance