Organization Active NPI

Key West Fire and EMS Association

  • Land Ambulance
  • Dubuque, IA
National Provider Identifier
1073539375
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
KEY WEST FIRE AND EMS ASSOCIATION
Practice address
10640 Lake Eleanor Road
Dubuque, IA 52003
Phone
(563) 557-9556
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Brian Arnold
Title
Chief
Phone
(563) 557-9556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

10640 Lake Eleanor Road
Dubuque, IA 52003

Mailing address

10640 Lake Eleanor Road
Dubuque, IA 52003

Other identifiers 2

IdentifierTypeStateIssuer
IA MEDICAIDMedicaidIA
BCBSOtherIA36828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000281 IA Part B Supplier - Ambulance Service Supplier 8729062153 Practice locations: Dubuque, IA

National Provider Directory

National Provider Directory
Tax ID family
Key West Fire and EMS Association2 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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1073539375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 LAKE ELEANOR ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 LAKE ELEANOR ROAD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52003",
            "telephone_number": "563-557-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST FIRE AND EMS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "563-557-9556"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IA MEDICAID",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "36828",
            "identifier": "BCBS",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.