Organization Active NPI

Audubon Fire and Rescue Association Incorporated

Doing business as Audubon Fire and Rescue

  • Land Ambulance
  • Audubon, IA
National Provider Identifier
1407335052
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2050100 Issued in IA
Legal business name
AUDUBON FIRE AND RESCUE ASSOCIATION INCORPORATED
Doing business as
Audubon Fire and Rescue
Practice address
113 Market St
Audubon, IA 50025-1111
Phone
(712) 563-2023
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Tyler S Thygesen
Title
Fire Chief
Phone
(712) 569-2023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2050100 IA Primary

Addresses

Primary practice location

113 Market St
Audubon, IA 50025-1111

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other names 1

  • Audubon Fire and Rescue Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1407335052",
    "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": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MARKET ST",
            "city": "AUDUBON",
            "state": "IA",
            "postal_code": "500251111",
            "telephone_number": "712-563-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON FIRE AND RESCUE ASSOCIATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "THYGESEN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "712-569-2023"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2050100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audubon Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Audubon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.