Organization Active NPI

Avoca Volunteer Fire Department

Doing business as Avoca Fire & Rescue

  • Land Ambulance
  • Avoca, IA
National Provider Identifier
1003271065
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2780100 Issued in IA
Legal business name
AVOCA VOLUNTEER FIRE DEPARTMENT
Doing business as
Avoca Fire & Rescue
Practice address
212 W Crocker St
Avoca, IA 51521-5065
Phone
(712) 343-2424
Fax
(712) 343-2323
NPI assigned
Dec 17, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
William Rose
Title
Public Safety Director
Phone
(712) 343-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2780100 IA Primary

Addresses

Primary 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

  • AVOCA FIRE & RESCUE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0961281Avoca Volunteer Fire & Rescue212 W Crocker, Avoca, IA 51521Certificate of waiverJun 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Avoca Volunteer Fire Dept2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.