Provider Demographics
NPI:1477614774
Name:NEW ALBIN VOLUNTEER FIRE DEPARTMENT
Entity type:Organization
Organization Name:NEW ALBIN VOLUNTEER FIRE DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:563-544-4260
Mailing Address - Street 1:118 MAIN ST. NE
Mailing Address - Street 2:
Mailing Address - City:NEW ALBIN
Mailing Address - State:IA
Mailing Address - Zip Code:52160
Mailing Address - Country:US
Mailing Address - Phone:563-544-4260
Mailing Address - Fax:
Practice Address - Street 1:118 MAIN ST. NE
Practice Address - Street 2:
Practice Address - City:NEW ALBIN
Practice Address - State:IA
Practice Address - Zip Code:52160
Practice Address - Country:US
Practice Address - Phone:563-544-4260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLAMAKEE EMS ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-12
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20302003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN09V66NEOtherBLUE CROSS & BLUE SHIELD
IA33888OtherBLUE CROSS & BLUE SHIELD
IAIB1356Medicare PIN