Provider Demographics
NPI:1275578411
Name:CITY OF NORWALK
Entity Type:Organization
Organization Name:CITY OF NORWALK
Other - Org Name:NORWALK FIRE DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASST CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-962-0108
Mailing Address - Street 1:705 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-1417
Mailing Address - Country:US
Mailing Address - Phone:515-962-0108
Mailing Address - Fax:
Practice Address - Street 1:705 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-1417
Practice Address - Country:US
Practice Address - Phone:515-962-0108
Practice Address - Fax:515-962-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2910300341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA17982Medicare ID - Type Unspecified