MEDICARE: KEY WEST FIRE DEPARTMENT

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	2316400	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437216405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY WEST FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	10640 LAKE ELEANOR ROAD
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52003-8904
Country	:	US
Telephone Number	:	563-557-9556
Fax Number	:	563-557-9556

Provider Business Practice Location Address
First Line	:	10640 LAKE ELEANOR ROAD
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52003-8904
Country	:	US
Telephone Number	:	563-557-9556
Fax Number	:	563-557-9556

Authorized Official
Title or Position	:	CHIEF
Name	:	MR. BRIAN STEVEN ARNOLD
Credential	:	EMT-P
Telephone Number	:	563-557-9556

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/22/2020

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Directions to “KEY WEST FIRE DEPARTMENT ” Practice Location

Language	Start Address	Practice Location

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