Organization Active NPI

City of Essex

Doing business as Essex Fire and Rescue

  • Ambulance
  • Essex, IA
National Provider Identifier
1124172028
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2731000 Issued in IA
Legal business name
CITY OF ESSEX
Doing business as
Essex Fire and Rescue
Practice address
412 Iowa Ave.
Essex, IA 51638
Phone
(712) 379-3444
Fax
(712) 379-3415
NPI assigned
Jan 22, 2007
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF ESSEXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Mrs. Lisa Ann Royer, CMC
Title
City Clerk
Phone
(712) 379-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2731000 IA Primary

Addresses

Primary practice location

412 Iowa Ave.
Essex, IA 51638

Mailing address

412 Iowa Ave
PO Box 428
Essex, IA 51638
Phone (712) 379-3444

Other names 1

  • Essex Fire and Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000718 IA Part B Supplier - Ambulance Service Supplier 5799816211 Practice locations: Essex, IA

National Provider Directory

National Provider Directory
Part of
Essex Fire and Rescue

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1124172028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 IOWA AVE",
            "address_2": "PO BOX 428",
            "city": "ESSEX",
            "state": "IA",
            "postal_code": "51638",
            "telephone_number": "712-379-3444",
            "fax_number": "712-379-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 IOWA AVE.",
            "city": "ESSEX",
            "state": "IA",
            "postal_code": "51638",
            "telephone_number": "712-379-3444",
            "fax_number": "712-379-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ESSEX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF ESSEX",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "712-379-3444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2731000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Essex, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.