City of Cushing

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2970400 Issued in IA

Legal business name

CITY OF CUSHING

Doing business as

Cushing Fire Department

Practice address

201 Main Street
Cushing, IA 51018

Phone

(712) 384-2591

NPI assigned

Jan 3, 2007

Last updated

May 17, 2013By 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

Leenette Wiese

Title

City Clerk

Phone

(712) 384-2591

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CUSHING 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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1821145061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "CUSHING",
            "state": "IA",
            "postal_code": "510180014",
            "telephone_number": "712-384-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "city": "CUSHING",
            "state": "IA",
            "postal_code": "51018",
            "telephone_number": "712-384-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CUSHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "LEENETTE",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "712-384-2591"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2970400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118851",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03809",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSHING FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.