Active NPI
New Sharon Fire and Rescue Association Incorporated
Doing business as New Sharon Fire & Rescue Association
- Land Ambulance
- New Sharon, IA
National Provider Identifier
1144386806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED
- Doing business as
- New Sharon Fire & Rescue Association
- Practice address
- 201 E Market St
Box 62
New Sharon, IA 50207-9604 - Phone
- (641) 637-2217
- Fax
- (641) 637-2596
- NPI assigned
- Dec 28, 2006
- Last updated
- Sep 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dustin James Briggs, EMT
- Title
- Ambulance Director
- Phone
- (641) 637-2217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
201 E Market St
Box 62
New Sharon, IA 50207-9604
Mailing address
201 E Market St
Box 62
New Sharon, IA 50207-9604
Phone (641) 637-2217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0059295 | Medicaid | IA | |
| 42 600 5036 | Other | IA | FEDERAL ID # |
Other names 1
- New Sharon Fire & Rescue Association
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070905000053 | IA | Part B Supplier - Ambulance Service Supplier | 1254424476 | Practice locations: New Sharon, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1051171 | New Sharon Fire & Rescue | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1144386806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MARKET ST",
"address_2": "BOX 62",
"city": "NEW SHARON",
"state": "IA",
"postal_code": "502079604",
"telephone_number": "641-637-2217",
"fax_number": "641-637-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E MARKET ST",
"address_2": "BOX 62",
"city": "NEW SHARON",
"state": "IA",
"postal_code": "502079604",
"telephone_number": "641-637-2217",
"fax_number": "641-637-2596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW SHARON FIRE AND RESCUE ASSOCIATION INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "BRIGGS",
"authorized_official_first_name": "DUSTIN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "AMBULANCE DIRECTOR",
"authorized_official_telephone_number": "641-637-2217",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0059295",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID #",
"identifier": "42 600 5036",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Sharon Fire & Rescue Association",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Sharon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.