Organization Active NPI

Key West Fire Department

  • Land Ambulance
  • Dubuque, IA
National Provider Identifier
1437216405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2316400 Issued in IA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0442061MedicaidIA

Other names 1

  • Key West Fire and EMS Association Other name

National Provider Directory

National Provider Directory
Tax ID family
Key West Fire and EMS Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.