Organization Active NPI

Melcher-Dallas

Doing business as Melcher-Dallas Fire Rescue

  • Ambulance
  • Melcher, IA
National Provider Identifier
1700814167
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2630400 Issued in IA
Legal business name
MELCHER-DALLAS
Doing business as
Melcher-Dallas Fire Rescue
Practice address
200 Center St
Melcher, IA 50163
Phone
(515) 962-0108
Fax
(515) 962-0108
NPI assigned
Jun 28, 2006
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Vance P Vrban
Title
Treasurer
Phone
(515) 962-0108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2630400 IA Primary

Addresses

Primary practice location

200 Center St
Melcher, IA 50163

Mailing address

200 Center St
PO Box 548
Melcher, IA 50163
Phone (515) 962-0108

Other names 1

  • Melcher-Dallas Fire Rescue Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0937323Melcher-Dallas Ambulance200 Center Street, Melcher Dallas, IA 50163Certificate of waiverDec 14, 2027

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": "1297728000000",
    "number": "1700814167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "address_2": "PO BOX 548",
            "city": "MELCHER",
            "state": "IA",
            "postal_code": "50163",
            "telephone_number": "515-962-0108",
            "fax_number": "515-962-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTER ST",
            "city": "MELCHER",
            "state": "IA",
            "postal_code": "50163",
            "telephone_number": "515-962-0108",
            "fax_number": "515-962-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELCHER-DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "VRBAN",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "515-962-0108"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2630400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melcher-Dallas Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melcher, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.