Active NPI
Key West Fire and EMS Association
- Land Ambulance
- Dubuque, IA
National Provider Identifier
1073539375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IA MEDICAID | Medicaid | IA | |
| BCBS | Other | IA | 36828 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Association
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Dubuque, IA
- NPI 1437216405
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.