Healthcare Provider Details

I. General information

NPI: 1306445333
Provider Name (Legal Business Name): HARPERS FERRY EMS ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 10/21/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 NORTH 4TH ST
HARPERS FERRY IA
52146-9643
US

IV. Provider business mailing address

PO BOX 641880
OMAHA NE
68164-7880
US

V. Phone/Fax

Practice location:
  • Phone: 563-586-2556
  • Fax:
Mailing address:
  • Phone: 402-572-4019
  • Fax: 888-506-4589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: REBECCA E BENZING
Title or Position: SERVICE DIRECTOR
Credential:
Phone: 563-419-5310