Glenwood Volunteer Fire Assoc Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2650700 Issued in IA

Legal business name

GLENWOOD VOLUNTEER FIRE ASSOC INC

Doing business as

Glenwood Fire Rescue

Practice address

120 S Walnut St
Glenwood, IA 51534-1741

Phone

(712) 527-2093

Fax

(712) 527-4709

NPI assigned

Jun 27, 2005

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn L Fidler, EMT-B

Title

Billing Corrdinator

Phone

(712) 527-2093

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• GLENWOOD FIRE RESCUE Doing business as

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1548266208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S WALNUT ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341741",
            "telephone_number": "712-527-2093",
            "fax_number": "712-527-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S WALNUT ST",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515341741",
            "telephone_number": "712-527-2093",
            "fax_number": "712-527-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD VOLUNTEER FIRE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING CORRDINATOR",
        "authorized_official_telephone_number": "712-527-2093",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2650700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0252486",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IA",
            "identifier": "49395",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "590014576",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLUE CROSS BLUE SHIEL",
            "identifier": "52539",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENWOOD FIRE RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Glenwood, IA
• Providers in Glenwood, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.