Active NPI
City of Walnut
Doing business as Walnut Fire Department
- Land Ambulance
- Walnut, IA
National Provider Identifier
1326048786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2780800
- 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, 2025
- 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
- Shannon Renae Wood
- Title
- Deputy City Clerk
- Phone
- (531) 895-5853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22182 | Other | IA | BLUE CROSS PROVIDER NUMBER |
| 0221820 | Medicaid | IA |
Other names 1
- Walnut Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090911000298 | IA | Part B Supplier - Ambulance Service Supplier | 8820143068 | Practice locations: Walnut, IA |
National Provider Directory
National Provider DirectoryLocations
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.