Provider Demographics
NPI:1497744395
Name:MINDEN EMERGENCY SERVICES
Entity Type:Organization
Organization Name:MINDEN EMERGENCY SERVICES
Other - Org Name:MINDEN VOL FIRE DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNECKLOTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-572-4019
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 1:205 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:IA
Practice Address - Zip Code:51553
Practice Address - Country:US
Practice Address - Phone:402-572-4019
Practice Address - Fax:402-965-8594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0234294Medicaid
IA40277OtherBLUE CROSS PROVIDER NO
IA110471Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO