Logan Volunteer Fire & Rescue Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2430200 Issued in IA

Legal business name

LOGAN VOLUNTEER FIRE & RESCUE ASSOCIATION

Practice address

112 North Third Ave
Logan, IA 51546

Phone

(712) 644-2579

Fax

(712) 644-2579

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Casey CharbonneauNPI 1922990910

Title

EMS Chief

Phone

(531) 895-5853

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Logan Fire Rescue Association Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casey Lynne Charbonneau, FNP-BC

  • Family Medicine Physician
  • Logan, IA
  • NPI 1922990910
  NPD Authorized official

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1730296245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NORTH THIRD AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "51546",
            "telephone_number": "712-644-2579",
            "fax_number": "712-644-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN VOLUNTEER FIRE & RESCUE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "CHARBONNEAU",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2430200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231712",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1730296245",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Fire Rescue Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicolas Hiller
• Hannah Beth James, PLMHP, TCADC
• Kismet LGN, LLC
• Kismet LGN, LLC
• Logan Magnolia School
• Carol Ann Logan-Brummer, MA. LMHC,CADC
• Brittany Michelle Long
• Haleigh Anne Mann
• Mosaic
• Mosaic

• All providers in Logan, IA
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.