Organization Active NPI

New Albin Volunteer Fire Department

  • Land Ambulance
  • New Albin, IA
National Provider Identifier
1477614774
Registry record updated Apr 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2030200 Issued in IA
Legal business name
NEW ALBIN VOLUNTEER FIRE DEPARTMENT
Practice address
118 Main St. NE
New Albin, IA 52160
Phone
(563) 544-4260
NPI assigned
Dec 12, 2006
Organization subpart
Yes
Parent organization
ALLAMAKEE EMS ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2014

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

Authorized official

Name
Paul Whalen, EMT-B
Title
Captain
Phone
(563) 544-4260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2030200 IA Primary

Addresses

Primary practice location

118 Main St. NE
New Albin, IA 52160

Mailing address

118 Main St. NE
New Albin, IA 52160
Phone (563) 544-4260

Other identifiers 2

IdentifierTypeStateIssuer
09V66NEOtherMNBLUE CROSS & BLUE SHIELD
33888OtherIABLUE CROSS & BLUE SHIELD

Other names 1

  • New Albin Ambulance Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090409000042 IA Part B Supplier - Ambulance Service Supplier 1456408475 Practice locations: New Albin, IA

National Provider Directory

National Provider Directory
Part of
Lansing EMS

Locations

118 Main St NE
New Albin, IA 52160
Phone (563) 544-4260

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396656000000",
    "number": "1477614774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST. NE",
            "city": "NEW ALBIN",
            "state": "IA",
            "postal_code": "52160",
            "telephone_number": "563-544-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST. NE",
            "city": "NEW ALBIN",
            "state": "IA",
            "postal_code": "52160",
            "telephone_number": "563-544-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ALBIN VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLAMAKEE EMS ASSOCIATION",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-04-05",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "563-544-4260",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2030200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "09V66NE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "33888",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Albin Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Albin, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2014; 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.