Scranton Fire Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

23705 Issued in IA

Legal business name

SCRANTON FIRE RESCUE

Practice address

1006 Main St
Scranton, IA 51462-8511

Phone

(515) 370-4564

Fax

(515) 386-8098

NPI assigned

Mar 17, 2006

Last updated

May 18, 2011By 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. Darrell Craig Johnson, EMTB

Title

President

Phone

(515) 391-9430

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1811956030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 MAIN ST",
            "address_2": "PO BOX 114",
            "city": "SCRANTON",
            "state": "IA",
            "postal_code": "514628511",
            "telephone_number": "515-370-4564",
            "fax_number": "515-386-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MAIN ST",
            "city": "SCRANTON",
            "state": "IA",
            "postal_code": "514628511",
            "telephone_number": "515-370-4564",
            "fax_number": "515-386-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRANTON FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-391-9430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTB"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "23705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268813",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "31427",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015269",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Lange
• Mary Christine Pope, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.