Active NPI
Earling Fire & Rescue Department
- Land Ambulance
- Earling, IA
National Provider Identifier
1194876938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 8341
- Legal business name
- EARLING FIRE & RESCUE DEPARTMENT
- Practice address
- 100 Main
Earling, IA 51530-0287 - Phone
- (712) 747-6791
- NPI assigned
- Jan 16, 2007
- 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
- Jack Kenkel
- Title
- Rescue Chief
- Phone
- (712) 747-6791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 8341 | IA | Primary |
Addresses
Primary practice location
100 Main
Earling, IA 51530-0287
Mailing address
100 Main
Box 287
Earling, IA 51530-0287
Phone (712) 747-6791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074732 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080423000289 | IA | Part B Supplier - Ambulance Service Supplier | 5496833014 |
1 other NPI on this enrollment Practice locations: Earling, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518134400000",
"number": "1194876938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAIN",
"address_2": "BOX 287",
"city": "EARLING",
"state": "IA",
"postal_code": "515300287",
"telephone_number": "712-747-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAIN",
"city": "EARLING",
"state": "IA",
"postal_code": "515300287",
"telephone_number": "712-747-6791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARLING FIRE & RESCUE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2018-02-09",
"status": "A",
"authorized_official_last_name": "KENKEL",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "RESCUE CHIEF",
"authorized_official_telephone_number": "712-747-6791"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "8341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074732",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Earling, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.