Healthcare Provider Details

I. General information

NPI: 1922234400
Provider Name (Legal Business Name): BAXTER RURAL FIRE AND RESCUE DEPT.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S. MAIN STREET
BAXTER IA
50028
US

IV. Provider business mailing address

P.O. BOX 127
BAXTER IA
50028
US

V. Phone/Fax

Practice location:
  • Phone: 641-227-3120
  • Fax: 641-227-3112
Mailing address:
  • Phone: 641-507-3112
  • Fax: 641-507-3112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RANDI GLIEM
Title or Position: SERVICE DIRECTOR
Credential: EMT
Phone: 641-227-3112