Sidney Volunteer Fire & Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2360300 Issued in IA

Legal business name

SIDNEY VOLUNTEER FIRE & RESCUE

Practice address

903 Indiana St
Sidney, IA 51652-8034

Phone

(712) 374-2204

Fax

(402) 572-4019

NPI assigned

May 13, 2006

Last updated

Apr 4, 2013By 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

Mrs. Nancy Jo Shirley

Title

Treasurer

Phone

(712) 374-2204

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1629029608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 INDIANA ST",
            "city": "SIDNEY",
            "state": "IA",
            "postal_code": "516528034",
            "telephone_number": "712-374-2204",
            "fax_number": "402-572-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY VOLUNTEER FIRE & RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "712-374-2204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2360300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "610713100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009309",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186213",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8181742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009309",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100987",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18621",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Montgomery, SLP
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• Shenandoah Medical Center (Shenandoah Physicians Clinic)
• Sidney CSD
• Stoner Drug Co (Stoner Drug)
• The Ambassador Sidney, Inc. (The Ambassador Sidney)
• Collin Micheal Tucker
• Sharon Kay Yahnke

• Land Ambulance in Sidney, IA
• Providers in Sidney, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.