Provider Demographics
NPI:1376582122
Name:OXFORD JUNCTION FIRE DEPARTMENT
Entity Type:Organization
Organization Name:OXFORD JUNCTION FIRE DEPARTMENT
Other - Org Name:OXFORD JCT VOL AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-826-2879
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:OXFORD JUNCTION
Mailing Address - State:IA
Mailing Address - Zip Code:52323-0102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 MAIN ST
Practice Address - Street 2:
Practice Address - City:OXFORD JUNCTION
Practice Address - State:IA
Practice Address - Zip Code:52323
Practice Address - Country:US
Practice Address - Phone:563-826-2879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
000007434OtherADVOCARE MCHMO
IA07434OtherBCBS IA
IA0100OtherJOHN DEERE
IA0200253Medicaid
=========015OtherVALLEY HEALTH PLAN
IA0200253Medicaid
IA0100OtherJOHN DEERE
=========015OtherBCBS