Provider Demographics
NPI:1407335052
Name:AUDUBON FIRE AND RESCUE ASSOCIATION INCORPORATED
Entity Type:Organization
Organization Name:AUDUBON FIRE AND RESCUE ASSOCIATION INCORPORATED
Other - Org Name:AUDUBON FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:S
Authorized Official - Last Name:THYGESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-569-2023
Mailing Address - Street 1:PO BOX 641880
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7880
Mailing Address - Country:US
Mailing Address - Phone:402-572-4019
Mailing Address - Fax:402-965-8594
Practice Address - Street 1:113 MARKET ST
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:IA
Practice Address - Zip Code:50025-1111
Practice Address - Country:US
Practice Address - Phone:712-563-2023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20501003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport