Active NPI
Delaware Township Fire Department
- Land Ambulance
- Des Moines, IA
National Provider Identifier
1043638497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DELAWARE TOWNSHIP FIRE DEPARTMENT
- Practice address
- 3992 E Broadway Ave
Des Moines, IA 50317-8917 - Phone
- (515) 263-0076
- Fax
- (724) 234-4703
- NPI assigned
- Apr 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew William Reed
- Title
- Cheif
- Phone
- (515) 577-5888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2776800 | IA | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
3992 E Broadway Ave
Des Moines, IA 50317-8917
Mailing address
892 New Castle Rd
Slippery Rock, PA 16057-4228
Phone (800) 280-5974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01813401 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140401000111 | IA | Part B Supplier - Ambulance Service Supplier | 0143451369 | Practice locations: Des Moines, IA |
National Provider Directory
National Provider DirectoryLocations
3992 E Broadway Ave
Des Moines, IA 50317
Phone (515) 263-0076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1043638497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "892 NEW CASTLE RD",
"city": "SLIPPERY ROCK",
"state": "PA",
"postal_code": "160574228",
"telephone_number": "800-280-5974",
"fax_number": "724-234-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3992 E BROADWAY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503178917",
"telephone_number": "515-263-0076",
"fax_number": "724-234-4703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE TOWNSHIP FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-02",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "REED",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CHEIF",
"authorized_official_telephone_number": "515-577-5888"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IA",
"license": "2776800",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01813401",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.