Active NPI
New Albin Volunteer Fire Department
- Land Ambulance
- New Albin, IA
National Provider Identifier
1477614774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2030200
- 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 ASSOCIATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09V66NE | Other | MN | BLUE CROSS & BLUE SHIELD |
| 33888 | Other | IA | BLUE CROSS & BLUE SHIELD |
Other names 1
- New Albin Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Land Ambulance
- Waukon, IA
- NPI 1295970689
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.