Organization Active NPI

Dunlap Fire and Rescue

  • Land Ambulance
  • Dunlap, IA
National Provider Identifier
1003051681
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2430100 Issued in IA
Legal business name
DUNLAP FIRE AND RESCUE
Practice address
715 Iowa Ave
Dunlap, IA 51529-1335
Phone
(712) 643-5721
Fax
(712) 643-1004
NPI assigned
Dec 10, 2008
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF DUNLAPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joyce M Cogdill
Title
Rescue Captain
Phone
(712) 643-2203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2430100 IA Primary

Addresses

Primary practice location

715 Iowa Ave
Dunlap, IA 51529-1335

Mailing address

715 Iowa Ave
Dunlap, IA 51529-1335
Phone (712) 643-5721

Other identifiers 1

IdentifierTypeStateIssuer
0494856MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081204000110 IA Part B Supplier - Ambulance Service Supplier 9133280563 Practice locations: Dunlap, IA

National Provider Directory

National Provider Directory

Locations

715 Iowa Ave
Dunlap, IA 51529
Phone (712) 643-5721

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1003051681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 IOWA AVE",
            "city": "DUNLAP",
            "state": "IA",
            "postal_code": "515291335",
            "telephone_number": "712-643-5721",
            "fax_number": "712-643-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 IOWA AVE",
            "city": "DUNLAP",
            "state": "IA",
            "postal_code": "515291335",
            "telephone_number": "712-643-5721",
            "fax_number": "712-643-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNLAP FIRE AND RESCUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF DUNLAP",
        "enumeration_date": "2008-12-10",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "COGDILL",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "712-643-2203"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2430100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0494856",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.