Healthcare Provider Details

I. General information

NPI: 1326118654
Provider Name (Legal Business Name): NORWALK FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CHATHAM AVE
NORWALK IA
50211-9541
US

IV. Provider business mailing address

1100 CHATHAM AVE
NORWALK IA
50211-9541
US

V. Phone/Fax

Practice location:
  • Phone: 515-981-4316
  • Fax: 515-981-9268
Mailing address:
  • Phone: 515-981-4316
  • Fax: 515-981-9268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number2910300
License Number StateIA

VIII. Authorized Official

Name: MICHAEL D WENGER
Title or Position: ASSISTANT CHIEF
Credential: PARAMEDIC
Phone: 515-981-4316