Town of Massena

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2150400 Issued in IA

Legal business name

TOWN OF MASSENA

Doing business as

Massena Fire and Rescue

Practice address

209 Main St
Massena, IA 50853-1032

Phone

(712) 779-0164

NPI assigned

Sep 6, 2007

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alisa Kool

Title

Asst. Ambulance Co- Captain

Phone

(712) 250-1332

Specialties & licenses 1

Addresses

Other names 1

• Massena Fire and Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1255526935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "MASSENA",
            "state": "IA",
            "postal_code": "508531032",
            "telephone_number": "712-779-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MASSENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "KOOL",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "ASST. AMBULANCE CO- CAPTAIN",
        "authorized_official_telephone_number": "712-250-1332"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2150400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massena Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Massena Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cass County Memorial Hospital (Massena Medical Center)

• Ambulance in Massena, IA
• Providers in Massena, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.