Healthcare Provider Details

I. General information

NPI: 1386728830
Provider Name (Legal Business Name): RINGSTED BENEFITTED FIRE DIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 06/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 NORTH FIRST ST.
RINGSTED IA
50578
US

IV. Provider business mailing address

PO BOX 641880 P.O. BOX 185
OMAHA NE
64164-7880
US

V. Phone/Fax

Practice location:
  • Phone: 712-362-4221
  • Fax: 712-362-4221
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 Number2320100
License Number StateIA

VIII. Authorized Official

Name: MR. DAN L JORGENSEN
Title or Position: FIRE CHIEF
Credential:
Phone: 712-866-0211