Organization Active NPI

City of Anita

Doing business as Anita Vol. Fire & Rescue

  • Land Ambulance
  • Anita, IA
National Provider Identifier
1093999120
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2150100 Issued in IA
Legal business name
CITY OF ANITA
Doing business as
Anita Vol. Fire & Rescue
Practice address
208 Walnut Street
Anita, IA 50020
Phone
(402) 572-4019
NPI assigned
Dec 26, 2007
Last updated
Mar 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Duane Murphy
Title
Chief
Phone
(402) 572-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2150100 IA Primary

Addresses

Primary practice location

208 Walnut Street
Anita, IA 50020

Mailing address

208 Walnut Street
Anita, IA 50020
Phone (402) 572-4019

Other names 1

  • Anita Vol. Fire & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090406000297 IA Part B Supplier - Ambulance Service Supplier 5092862243 Practice locations: Anita, IA

National Provider Directory

National Provider Directory
Tax ID family
City of Anita Volunteer Fire Dept2 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.

Locations

208 Walnut St
Anita, IA 50020
Phone (712) 762-3537

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1093999120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WALNUT STREET",
            "city": "ANITA",
            "state": "IA",
            "postal_code": "50020",
            "telephone_number": "402-572-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WALNUT STREET",
            "city": "ANITA",
            "state": "IA",
            "postal_code": "50020",
            "telephone_number": "402-572-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ANITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2150100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anita Vol. Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anita, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.