Provider Demographics
NPI:1730130428
Name:HAMBURG FIRE PROTECTION AGENCY
Entity Type:Organization
Organization Name:HAMBURG FIRE PROTECTION AGENCY
Other - Org Name:HAMBURG VOLUNTEER FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RESCUE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-382-1303
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:IA
Mailing Address - Zip Code:51640-0125
Mailing Address - Country:US
Mailing Address - Phone:712-382-1303
Mailing Address - Fax:712-382-1073
Practice Address - Street 1:711 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:IA
Practice Address - Zip Code:51640-1164
Practice Address - Country:US
Practice Address - Phone:712-382-1303
Practice Address - Fax:712-382-1073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23601003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00147290OtherRAILROAD MEDICARE
IA0086181Medicaid
IA08618OtherBC BS OF IOWA
8181992OtherUNITED HEALTHCARE
SD9011250Medicaid
SD9011250Medicaid