Percival Volunteer Firemen Incorporated

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2360600 Issued in IA

Legal business name

PERCIVAL VOLUNTEER FIREMEN INCORPORATED

Doing business as

Percival Fire And Rescue

Practice address

2065 195TH Ave
Percival, IA 51648-6010

Phone

(712) 374-2010

Fax

(712) 529-4218

NPI assigned

May 10, 2006

Last updated

Aug 22, 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

Michelle Bolander

Title

Rescue Captain

Phone

(712) 374-2010

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Percival Fire And Rescue Doing business as

Locations

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093765240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BLUFF RD",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516405036",
            "telephone_number": "712-374-2010",
            "fax_number": "712-529-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 195TH AVE",
            "city": "PERCIVAL",
            "state": "IA",
            "postal_code": "516486010",
            "telephone_number": "712-374-2010",
            "fax_number": "712-529-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERCIVAL VOLUNTEER FIREMEN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLANDER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "712-374-2010"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2360600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474528",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37529",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025250300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Percival Fire And Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Percival Volunteer Firement Inc. (Percival Fire and Rescue)

• Land Ambulance in Percival, IA
• Providers in Percival, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.