MEDICARE: HARPERS FERRY EMS ASSOCIATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1306445333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARPERS FERRY EMS ASSOCIATION INC

Provider Business Mailing Address
First Line	:	PO BOX 641880
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-7880
Country	:	US
Telephone Number	:	402-572-4019
Fax Number	:	888-506-4589

Provider Business Practice Location Address
First Line	:	133 NORTH 4TH ST
Second Line	:
City	:	HARPERS FERRY
State	:	IA
Zip	:	52146-9643
Country	:	US
Telephone Number	:	563-586-2556
Fax Number	:

Authorized Official
Title or Position	:	SERVICE DIRECTOR
Name	:	REBECCA E BENZING
Credential	:
Telephone Number	:	563-419-5310

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	10/21/2020

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