Provider Demographics
NPI:1972570265
Name:HARPERS FERRY RESCUE UNIT FUND
Entity Type:Organization
Organization Name:HARPERS FERRY RESCUE UNIT FUND
Other - Org Name:HARPERS FERRY RESCUE
Other - Org Type:Other Name
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:BENZING
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:563-586-2168
Mailing Address - Street 1:40 FIRST STREET SE
Mailing Address - Street 2:
Mailing Address - City:WAUKON
Mailing Address - State:IA
Mailing Address - Zip Code:52172-2022
Mailing Address - Country:US
Mailing Address - Phone:563-568-3411
Mailing Address - Fax:563-568-6139
Practice Address - Street 1:133 N 4TH ST
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:IA
Practice Address - Zip Code:52146-9601
Practice Address - Country:US
Practice Address - Phone:563-586-2556
Practice Address - Fax:563-586-2556
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLAMAKEE EMS ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-05
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20301003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA06248OtherBLUE CROSS/BLUE SHIELD
IAI4938Medicare PIN