Provider Demographics
NPI:1902835903
Name:CAMP TWP-POLK COUNTY
Entity Type:Organization
Organization Name:CAMP TWP-POLK COUNTY
Other - Org Name:RUNNELLS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-966-2241
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:RUNNELLS
Mailing Address - State:IA
Mailing Address - Zip Code:50237-0056
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 BROWN
Practice Address - Street 2:
Practice Address - City:RUNNELLS
Practice Address - State:IA
Practice Address - Zip Code:50237
Practice Address - Country:US
Practice Address - Phone:515-208-0057
Practice Address - Fax:515-966-2824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27711003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA40116OtherBCBS WELLMARK
IA7096900OtherPRINCIPAL HLTH CARE IA
IA40116OtherBCBS WELLMARK
IA7096900OtherPRINCIPAL HLTH CARE IA