Newark Colfax Township Fire Board

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2940200 Issued in IA

Legal business name

NEWARK COLFAX TOWNSHIP FIRE BOARD

Practice address

1642 Vincent Ave
Vincent, IA 50594-7512

Phone

(515) 887-3553

NPI assigned

Dec 29, 2006

Last updated

Oct 19, 2007By 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

Yalonda Amonson

Title

Account Manager

Phone

(515) 887-3553

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1083770309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234",
            "city": "VINCENT",
            "state": "IA",
            "postal_code": "505940234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 VINCENT AVE",
            "city": "VINCENT",
            "state": "IA",
            "postal_code": "505947512",
            "telephone_number": "515-887-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK COLFAX TOWNSHIP FIRE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "AMONSON",
        "authorized_official_first_name": "YALONDA",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "515-887-3553"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2940200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087908",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.