Healthcare Provider Details

I. General information

NPI: 1427021161
Provider Name (Legal Business Name): AVOCA VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 N SAWMILL DR
AVOCA IA
51521
US

IV. Provider business mailing address

PO BOX 246
AVOCA IA
51521-0246
US

V. Phone/Fax

Practice location:
  • Phone: 712-307-1360
  • Fax: 712-307-1360
Mailing address:
  • Phone: 712-343-2424
  • Fax: 712-343-4304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2780100
License Number StateIA

VIII. Authorized Official

Name: DR. PATRICK COSTELLO
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 712-396-6000