Active NPI
Avoca Volunteer Fire Department
- Land Ambulance
- Avoca, IA
National Provider Identifier
1003271065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2780100
- Legal business name
- AVOCA VOLUNTEER FIRE DEPARTMENT
- Practice address
- 212 W Crocker St
Avoca, IA 51521-5065 - Phone
- (712) 343-2424
- Fax
- (712) 343-2323
- NPI assigned
- Dec 17, 2015
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- William Rose
- Title
- Public Safety Director
- Phone
- (712) 343-2424
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0961281 | Avoca Volunteer Fire & Rescue | Certificate of waiver | Jun 1, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Avoca Volunteer Fire Dept
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Avoca, IA
- NPI 1427021161
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2780100 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
212 W Crocker St
Avoca, IA 51521-5065
Mailing address
PO Box 246
Avoca, IA 51521-0246
Phone (712) 343-2424
Other names 1
NPPES NPI Registry- AVOCA FIRE & RESCUE
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 17, 2015.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450310400000",
"number": "1003271065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 246",
"city": "AVOCA",
"state": "IA",
"postal_code": "515210246",
"telephone_number": "712-343-2424",
"fax_number": "712-343-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W CROCKER ST",
"city": "AVOCA",
"state": "IA",
"postal_code": "515215065",
"telephone_number": "712-343-2424",
"fax_number": "712-343-2323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVOCA VOLUNTEER FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PUBLIC SAFETY DIRECTOR",
"authorized_official_telephone_number": "712-343-2424"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2780100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AVOCA FIRE & RESCUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avoca, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.