Healthcare Provider Details
I. General information
NPI: 1376582122
Provider Name (Legal Business Name): OXFORD JUNCTION FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2006
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 MAIN ST
OXFORD JUNCTION IA
52323
US
IV. Provider business mailing address
PO BOX 102
OXFORD JUNCTION IA
52323-0102
US
V. Phone/Fax
- Phone: 563-826-2879
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROL
ANDRESEN
Title or Position: TREASURER
Credential:
Phone: 563-826-2879