Active NPI
City of Carson
Doing business as Carson Fire Department
- Land Ambulance
- Carson, IA
National Provider Identifier
1467514422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2781400
- 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, 2013
- 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
- Brianne Duede
- Title
- City Clerk
- Phone
- (712) 484-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050808000995 | IA | Part B Supplier - Ambulance Service Supplier | 9335178516 | Practice locations: Carson, IA |
National Provider Directory
National Provider DirectoryNPI 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.