Organization Active NPI

City of Walnut

Doing business as Walnut Fire Department

  • Land Ambulance
  • Walnut, IA
National Provider Identifier
1326048786
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2780800 Issued in IA
Legal business name
CITY OF WALNUT
Doing business as
Walnut Fire Department
Practice address
500 Pearl St
Walnut, IA 51577
Phone
(712) 784-3443
Fax
(712) 784-3511
NPI assigned
Jul 28, 2005
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Shannon Renae Wood
Title
Deputy City Clerk
Phone
(531) 895-5853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2780800 IA Primary

Addresses

Primary practice location

500 Pearl St
Walnut, IA 51577

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other identifiers 2

IdentifierTypeStateIssuer
22182OtherIABLUE CROSS PROVIDER NUMBER
0221820MedicaidIA

Other names 1

  • Walnut 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
O20090911000298 IA Part B Supplier - Ambulance Service Supplier 8820143068 Practice locations: Walnut, IA

National Provider Directory

National Provider Directory

Locations

500 Pearl St
Walnut, IA 51577
Phone (712) 784-3443

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1326048786",
    "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": "500 PEARL ST",
            "city": "WALNUT",
            "state": "IA",
            "postal_code": "51577",
            "telephone_number": "712-784-3443",
            "fax_number": "712-784-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WALNUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "DEPUTY CITY CLERK",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2780800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBER",
            "identifier": "22182",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221820",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.