Organization Active NPI

City of Carson

Doing business as Carson Fire Department

  • Land Ambulance
  • Carson, IA
National Provider Identifier
1467514422
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2781400 Issued in IA
Legal business name
CITY OF CARSON
Doing business as
Carson Fire Department
Practice address
127 Broadway
Carson, IA 51525
Phone
(866) 332-5335
Fax
(866) 887-2003
NPI assigned
Dec 15, 2006
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Brianne Duede
Title
City Clerk
Phone
(712) 484-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2781400 IA Primary

Addresses

Primary practice location

127 Broadway
Carson, IA 51525

Mailing address

PO Box 128
Carson, IA 51525-0128
Phone (712) 484-3636

Other names 1

  • CARSON 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
O20050808000995 IA Part B Supplier - Ambulance Service Supplier 9335178516 Practice locations: Carson, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1467514422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "CARSON",
            "state": "IA",
            "postal_code": "515250128",
            "telephone_number": "712-484-3636",
            "fax_number": "712-484-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BROADWAY",
            "city": "CARSON",
            "state": "IA",
            "postal_code": "51525",
            "telephone_number": "866-332-5335",
            "fax_number": "866-887-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CARSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "DUEDE",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "712-484-3636"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2781400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARSON FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.