NPIMap

Organization Active NPI

Farragut Fire & Rescue Association

  • Land Ambulance
  • Farragut, IA
National Provider Identifier
1528095056
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2360700 Issued in IA
Legal business name
FARRAGUT FIRE & RESCUE ASSOCIATION
Practice address
503 Hartford Ave
Farragut, IA 51639-2014
Phone
(712) 385-8661
Fax
(712) 385-8426
NPI assigned
Jun 28, 2006
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Robin Shirley
Title
Rescue Captain
Phone
(712) 385-8319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2360700 IA Primary

Addresses

Primary practice location

503 Hartford Ave
Farragut, IA 51639-2014

Mailing address

PO Box 60
Farragut, IA 51639-0060
Phone (712) 385-8661

Other identifiers 2

IdentifierTypeStateIssuer
0233007MedicaidIA
26238OtherIABCBS OF 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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1528095056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "FARRAGUT",
            "state": "IA",
            "postal_code": "516390060",
            "telephone_number": "712-385-8661",
            "fax_number": "712-385-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HARTFORD AVE",
            "city": "FARRAGUT",
            "state": "IA",
            "postal_code": "516392014",
            "telephone_number": "712-385-8661",
            "fax_number": "712-385-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRAGUT FIRE & RESCUE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "712-385-8319"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2360700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233007",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IA",
            "identifier": "26238",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farragut, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.