City of Fairbank

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF FAIRBANK

Doing business as

Fairbank Fire Department

Practice address

301 Grove St
Fairbank, IA 50629-8650

Phone

(319) 635-2981

NPI assigned

Feb 9, 2007

Last updated

Jul 2, 2019By 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

Mr. Bradley J Gordon

Title

Fire Chief

Phone

(563) 380-9519

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairbank Fire Department 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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1801937040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "888-506-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GROVE ST",
            "city": "FAIRBANK",
            "state": "IA",
            "postal_code": "506298650",
            "telephone_number": "319-635-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FAIRBANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "563-380-9519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078691",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairbank Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairbank Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Marie Alberts
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• Erin Sinram, PA-C
• Nathan Carl Steinbronn, DC
• Wapsie Valley Community School District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.