City of Elberon

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF ELBERON

Practice address

101 1St St
Elberon, IA 52225-8717

Phone

(319) 439-5306

NPI assigned

Nov 6, 2006

Last updated

Jul 21, 2022By 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

Mrs. Barbara Ann Kesl

Title

Bookkeeper

Phone

(319) 439-5306

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elberon Fire & Rescue Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Lidtke, DPM

  • Podiatrist
  • Marion, IA
  • NPI 1386641165
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093894388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 1ST ST",
            "city": "ELBERON",
            "state": "IA",
            "postal_code": "522258717",
            "telephone_number": "319-439-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST ST",
            "city": "ELBERON",
            "state": "IA",
            "postal_code": "522258717",
            "telephone_number": "319-439-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ELBERON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KESL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "319-439-5306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070698",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elberon Fire & Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.