Organization Active NPI

Northern Warren Fire and Emergency

Doing business as Northern Warren Fire Department

  • Land Ambulance
  • Norwalk, IA
National Provider Identifier
1265574339
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2910900 Issued in IA
Legal business name
NORTHERN WARREN FIRE AND EMERGENCY
Doing business as
Northern Warren Fire Department
Practice address
2300 R63 Highway
Norwalk, IA 50211-9193
Phone
(515) 285-2873
Fax
(515) 953-4495
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Mr. Raymond E Phillips
Title
President
Phone
(515) 285-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2910900 IA Primary

Addresses

Primary practice location

2300 R63 Highway
Norwalk, IA 50211-9193

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 991-7866

Other identifiers 1

IdentifierTypeStateIssuer
0245092MedicaidIA

Other names 1

  • Northern Warren Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317000649 IA Part B Supplier - Ambulance Service Supplier 1254466154 Practice locations: Norwalk, IA

National Provider Directory

National Provider Directory

Locations

2300 R63 Hwy
Norwalk, IA 50211
Phone (515) 285-2873

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1265574339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-991-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 R63 HIGHWAY",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119193",
            "telephone_number": "515-285-2873",
            "fax_number": "515-953-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN WARREN FIRE AND EMERGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-285-3406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2910900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245092",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Warren Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.