Provider Demographics
NPI:1538288832
Name:CITY OF PERSIA
Entity Type:Organization
Organization Name:CITY OF PERSIA
Other - Org Name:PERSIA FIRE & RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:EMTB
Authorized Official - Phone:712-488-7127
Mailing Address - Street 1:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:PERSIA
Mailing Address - State:IA
Mailing Address - Zip Code:51563-0141
Mailing Address - Country:US
Mailing Address - Phone:712-488-7127
Mailing Address - Fax:
Practice Address - Street 1:119 MAIN ST.
Practice Address - Street 2:
Practice Address - City:PERSIA
Practice Address - State:IA
Practice Address - Zip Code:51563
Practice Address - Country:US
Practice Address - Phone:712-488-7127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2430500341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA07100Medicare ID - Type UnspecifiedPROVIDER NUMBER