Active NPI
Town of New Virginia
Doing business as Virginia Township Fire Rescue
- Land Ambulance
- New Virginia, IA
National Provider Identifier
1780296293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF NEW VIRGINIA
- Doing business as
- Virginia Township Fire Rescue
- Practice address
- 506 West Street
New Virginia, IA 50210-7708 - Phone
- (515) 745-4415
- NPI assigned
- Aug 18, 2020
- Last updated
- Feb 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent T Baughman
- Title
- City Clerk
- Phone
- (515) 577-8987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
506 West Street
New Virginia, IA 50210-7708
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95463 | Medicaid | IA |
Other names 1
- Virginia Township Fire Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200731000209 | IA | Part B Supplier - Ambulance Service Supplier | 9234556929 | Practice locations: New Virginia, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0927786 | Virginia Township Rescue | Certificate of waiver | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1780296293",
"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": "877-218-4392",
"fax_number": "877-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 WEST STREET",
"city": "NEW VIRGINIA",
"state": "IA",
"postal_code": "502107708",
"telephone_number": "515-745-4415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF NEW VIRGINIA",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-18",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "BAUGHMAN",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CITY CLERK",
"authorized_official_telephone_number": "515-577-8987"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95463",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Virginia Township Fire Rescue",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Virginia Township Fire Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Virginia, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.