Active NPI
Key West Fire Department
- Land Ambulance
- Dubuque, IA
National Provider Identifier
1437216405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2316400
- Legal business name
- KEY WEST FIRE DEPARTMENT
- Practice address
- 10640 Lake Eleanor Road
Dubuque, IA 52003-8904 - Phone
- (563) 557-9556
- Fax
- (563) 557-9556
- NPI assigned
- Jan 2, 2007
- 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
- Mr. Brian Steven Arnold, EMT-P
- Title
- Chief
- Phone
- (563) 557-9556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2316400 | IA | Primary |
Addresses
Primary practice location
10640 Lake Eleanor Road
Dubuque, IA 52003-8904
Mailing address
10640 Lake Eleanor Road
Dubuque, IA 52003-8904
Phone (563) 557-9556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0442061 | Medicaid | IA |
Other names 1
- Key West Fire and EMS Association
National Provider Directory
National Provider Directory- Tax ID family
- Key West Fire and EMS Association
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Dubuque, IA
- NPI 1073539375
Locations
10640 Lake Eleanor Rd
Dubuque, IA 52003
Phone (563) 557-9556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437216405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10640 LAKE ELEANOR ROAD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520038904",
"telephone_number": "563-557-9556",
"fax_number": "563-557-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10640 LAKE ELEANOR ROAD",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520038904",
"telephone_number": "563-557-9556",
"fax_number": "563-557-9556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEY WEST FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "563-557-9556",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2316400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0442061",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Key West Fire and EMS Association",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.