Provider Demographics
NPI:1437543147
Name:COIN FIRE AND RESCUE
Entity Type:Organization
Organization Name:COIN FIRE AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:712-542-7071
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:211 1ST STREET
Mailing Address - City:COIN
Mailing Address - State:IA
Mailing Address - Zip Code:51636
Mailing Address - Country:US
Mailing Address - Phone:712-583-3212
Mailing Address - Fax:712-583-3212
Practice Address - Street 1:211 1ST STREET
Practice Address - Street 2:
Practice Address - City:COIN
Practice Address - State:IA
Practice Address - Zip Code:51636
Practice Address - Country:US
Practice Address - Phone:712-583-3212
Practice Address - Fax:712-583-3212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2730200341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance