Organization Active NPI

City of Everly

Doing business as Everly Fire & Rescue

  • Ambulance
  • Everly, IA
National Provider Identifier
1184653222
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2210400 Issued in IA
Legal business name
CITY OF EVERLY
Doing business as
Everly Fire & Rescue
Practice address
202 N Main
Everly, IA 51338-0197
Phone
(712) 834-2063
Fax
(712) 834-3063
NPI assigned
Jul 1, 2006
Last updated
Dec 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Ms. Tara Patrick
Title
Ambulance Director
Phone
(712) 834-2063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2210400 IA Primary

Addresses

Primary practice location

202 N Main
Everly, IA 51338-0197

Mailing address

202 N Main St
Everly, IA 51338-7729
Phone (712) 834-2063

Other identifiers 2

IdentifierTypeStateIssuer
42820OtherIABCBS
0233767MedicaidIA

Other names 1

  • EVERLY FIRE & RESCUE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1184653222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "EVERLY",
            "state": "IA",
            "postal_code": "513387729",
            "telephone_number": "712-834-2063",
            "fax_number": "712-834-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MAIN",
            "city": "EVERLY",
            "state": "IA",
            "postal_code": "513380197",
            "telephone_number": "712-834-2063",
            "fax_number": "712-834-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EVERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "712-834-2063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2210400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42820",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233767",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERLY FIRE & RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.