Active NPI
Asbury Community Fire Department
- Land Ambulance
- Asbury, IA
National Provider Identifier
1477583623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ASBURY COMMUNITY FIRE DEPARTMENT
- Practice address
- 5485 Saratoga Rd
Asbury, IA 52002-2501 - Phone
- (563) 556-5874
- NPI assigned
- Jul 4, 2006
- 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
- Brad Kruse
- Title
- Chief
- Phone
- (563) 556-5874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
5485 Saratoga Rd
Asbury, IA 52002-2501
Mailing address
5485 Saratoga Rd
Asbury, IA 52002-2501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155721 | Medicaid | IA | |
| BCBS | Other | IA | 15572 |
Other names 1
- Asbury 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 |
|---|---|---|---|---|
| O20061018000557 | IA | Part B Supplier - Ambulance Service Supplier | 3779589536 | Practice locations: Asbury, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0928132 | Asbury Community Fire Department | Certificate of waiver | May 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
5485 Saratoga Rd
Asbury, IA 52002
Phone (563) 556-5874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1477583623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5485 SARATOGA RD",
"city": "ASBURY",
"state": "IA",
"postal_code": "520022501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5485 SARATOGA RD",
"city": "ASBURY",
"state": "IA",
"postal_code": "520022501",
"telephone_number": "563-556-5874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASBURY COMMUNITY FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "KRUSE",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "563-556-5874"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155721",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "15572",
"identifier": "BCBS",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Asbury Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Asbury, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.