Sully Rural Fire Department and Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SULLY RURAL FIRE DEPARTMENT AND AMBULANCE SERVICE INC

Practice address

601 5TH St
Sully, IA 50251-7719

Phone

(641) 594-4100

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By 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

Loren J. Vos

Title

Secretary-Treasurer

Phone

(641) 891-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1710790746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "SULLY",
            "state": "IA",
            "postal_code": "502510256",
            "telephone_number": "641-891-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 5TH ST",
            "city": "SULLY",
            "state": "IA",
            "postal_code": "502517719",
            "telephone_number": "641-594-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLY RURAL FIRE DEPARTMENT AND AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "VOS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "641-891-5000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L Dejong, PHYSICIAN ASSISTANT
• Chad Fikse, D.C.
• Loren J. Vos Treas (Sully Fire Dept)
• Lynnville-Sully C.S.D.
• Pella Regional Health Center (Sully Family Health Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.