Provider Demographics
NPI:1144386806
Name:NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED
Entity Type:Organization
Organization Name:NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED
Other - Org Name:NEW SHARON FIRE & RESCUE ASSOCIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AMBULANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:641-637-2217
Mailing Address - Street 1:201 E MARKET ST
Mailing Address - Street 2:BOX 62
Mailing Address - City:NEW SHARON
Mailing Address - State:IA
Mailing Address - Zip Code:50207-9604
Mailing Address - Country:US
Mailing Address - Phone:641-637-2217
Mailing Address - Fax:641-637-2596
Practice Address - Street 1:201 E MARKET ST
Practice Address - Street 2:BOX 62
Practice Address - City:NEW SHARON
Practice Address - State:IA
Practice Address - Zip Code:50207-9604
Practice Address - Country:US
Practice Address - Phone:641-637-2217
Practice Address - Fax:641-637-2596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA42 600 5036OtherFEDERAL ID #
IA0059295Medicaid
IA28544Medicare ID - Type UnspecifiedAMBULANCE SERVICE