Provider Demographics
NPI:1629433271
Name:CITY OF NEOLA
Entity Type:Organization
Organization Name:CITY OF NEOLA
Other - Org Name:NEOLA VOL. FIRE DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:N
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-485-2307
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:
Practice Address - Street 1:401 N FRONT ST
Practice Address - Street 2:
Practice Address - City:NEOLS
Practice Address - State:IA
Practice Address - Zip Code:51559-3093
Practice Address - Country:US
Practice Address - Phone:712-485-2676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27805003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport