Provider Demographics
NPI:1790213478
Name:EXIRA FIRE & EMS ASSOCIATION INCORPORATED
Entity Type:Organization
Organization Name:EXIRA FIRE & EMS ASSOCIATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DILLON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-249-1963
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:402-991-7866
Mailing Address - Fax:888-506-4589
Practice Address - Street 1:2751 HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:EXIRA
Practice Address - State:IA
Practice Address - Zip Code:50076-7648
Practice Address - Country:US
Practice Address - Phone:712-249-1963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20502003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport