Organization Active NPI

Town of New Virginia

Doing business as Virginia Township Fire Rescue

  • Land Ambulance
  • New Virginia, IA
National Provider Identifier
1780296293
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95463MedicaidIA

Other names 1

  • Virginia Township Fire Rescue Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200731000209 IA Part B Supplier - Ambulance Service Supplier 9234556929 Practice locations: New Virginia, IA

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
16D0927786Virginia Township Rescue506 West Street, New Virginia, IA 50210Certificate of waiverApr 28, 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": "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.

Verify at the official NPI Registry.