Defiance Volunteer Fire and Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2831000 Issued in IA

Legal business name

DEFIANCE VOLUNTEER FIRE AND RESCUE

Doing business as

Defiance Fire & Rescue

Practice address

205 3Rd Ave
Defiance, IA 51527-3061

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Jan 15, 2009

Last updated

Apr 16, 2009By 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

Bob Wilwerding

Title

Rescue Captain

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other names 1

• DEFIANCE FIRE & RESCUE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1598902306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "DEFIANCE",
            "state": "IA",
            "postal_code": "51527",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 3RD AVE",
            "city": "DEFIANCE",
            "state": "IA",
            "postal_code": "515273061",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFIANCE VOLUNTEER FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "WILWERDING",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2831000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEFIANCE FIRE & RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.