Blakesburg Fire & Rescue

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2900900 Issued in IA

Legal business name

BLAKESBURG FIRE & RESCUE

Practice address

5621 Monroe Wapello Rd.
Blakesburg, IA 52536

Phone

(641) 680-2888

Fax

(877) 882-9922

NPI assigned

Jul 1, 2006

Last updated

Oct 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curtis E Woten, EMT

Title

Asst. Service Director

Phone

(640) 680-2888

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Blakesburg First Responders Other name

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1063441194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 MONROE WAPELLO RD.",
            "city": "BLAKESBURG",
            "state": "IA",
            "postal_code": "52536",
            "telephone_number": "641-680-2888",
            "fax_number": "877-882-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 MONROE WAPELLO RD.",
            "city": "BLAKESBURG",
            "state": "IA",
            "postal_code": "52536",
            "telephone_number": "641-680-2888",
            "fax_number": "877-882-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKESBURG FIRE & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "WOTEN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASST. SERVICE DIRECTOR",
        "authorized_official_telephone_number": "640-680-2888",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2900900",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07161",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452458",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blakesburg First Responders",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blakesburg Community Fire Board
• Eddyville Blakesburg CSD

• Ambulance in Blakesburg, IA
• Providers in Blakesburg, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.