NPIMap

Organization Active NPI

Irvington Volunteer Fire Department Incorporated

  • Land Ambulance
  • Omaha, NE
National Provider Identifier
1780661884
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5028 Issued in NE
Legal business name
IRVINGTON VOLUNTEER FIRE DEPARTMENT INCORPORATED
Doing business as
Irvington Vol. Fire Dept.
Practice address
9111 Fremont St
Omaha, NE 68122-1210
Phone
(402) 572-4019
Fax
(402) 965-8594
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Thomas A Townsend
Title
Rescue Captain
Phone
(402) 571-0451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5028 NE Primary

Addresses

Primary practice location

9111 Fremont St
Omaha, NE 68122-1210

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other identifiers 3

IdentifierTypeStateIssuer
590011329OtherNERAILROAD MEDICARE PROVIDE
098375OtherMEDICARE
39457OtherNEBLUE CROSS PROVIDER NO

Other names 1

  • Irvington Vol. Fire Dept. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000790 NE Part B Supplier - Ambulance Service Supplier 5597784751 Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

9111 Fremont St
Omaha, NE 68122
Phone (402) 571-0451

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1780661884",
    "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": "9111 FREMONT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221210",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGTON VOLUNTEER FIRE DEPARTMENT INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "402-571-0451"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "590011329",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "098375",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "39457",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irvington Vol. Fire Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.