Hamburg Fire Protection Agency

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2360100 Issued in IA

Legal business name

HAMBURG FIRE PROTECTION AGENCY

Doing business as

Hamburg Volunteer Fire And Rescue

Practice address

711 Main St
Hamburg, IA 51640-1164

Phone

(712) 382-1303

Fax

(712) 382-1073

NPI assigned

May 15, 2006

Last updated

Aug 22, 2020By 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

David Owen

Title

Rescue Captain

Phone

(712) 382-1303

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Hamburg Volunteer Fire And Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730130428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516400125",
            "telephone_number": "712-382-1303",
            "fax_number": "712-382-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MAIN ST",
            "city": "HAMBURG",
            "state": "IA",
            "postal_code": "516401164",
            "telephone_number": "712-382-1303",
            "fax_number": "712-382-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBURG FIRE PROTECTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "712-382-1303"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2360100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011250",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF IOWA",
            "identifier": "08618",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00147290",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086181",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8181992",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamburg Volunteer Fire And Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Hospital Inc (George C. Grape Community Hospital)
• Megan Elizabeth Gardner, PHARM.D.
• Tara R Goodman, ARNP
• Paulina K Gossman, ARNP
• Hamburg C.S.D.
• Timothy Allen Hendrickson, LPN-C
• Brooke Alex Hollars, ARNP, DNP-C
• Laura Gene Isaacson, ARNP, FNP-C
• Jennifer Annette Jensen
• Jody Lee Lang

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.