Provider Demographics
NPI:1346402401
Name:CITY OF TRURO
Entity Type:Organization
Organization Name:CITY OF TRURO
Other - Org Name:TRURO FIRE AND RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:RESCUE CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIARROTTA
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:515-681-4612
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-0457
Mailing Address - Country:US
Mailing Address - Phone:847-577-8811
Mailing Address - Fax:847-577-3518
Practice Address - Street 1:145 S WEST
Practice Address - Street 2:
Practice Address - City:TRURO
Practice Address - State:IA
Practice Address - Zip Code:50257-0050
Practice Address - Country:US
Practice Address - Phone:515-681-4612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA26160003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA613906700OtherDEPT OF LABOR
IA1346404201Medicaid
IA=========OtherBCBS WELLMARK
IA=========OtherBCBS WELLMARK