NPIMap

Organization Active NPI

Town of Irwin

Doing business as Irwin Volunteer Rescue Squad

  • Land Ambulance
  • Irwin, IA
National Provider Identifier
1831579630
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2830400 Issued in IA
Legal business name
TOWN OF IRWIN
Doing business as
Irwin Volunteer Rescue Squad
Practice address
404 Front St
Irwin, IA 51446-7718
Phone
(712) 579-1980
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Timothy D Plumb
Title
Rescue Chief
Phone
(712) 579-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2830400 IA Primary

Addresses

Primary practice location

404 Front St
Irwin, IA 51446-7718

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other names 1

  • Irwin Volunteer Rescue Squad Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151102002013 IA Part B Supplier - Ambulance Service Supplier 8921318056 Practice locations: Irwin, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1831579630",
    "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": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FRONT ST",
            "city": "IRWIN",
            "state": "IA",
            "postal_code": "514467718",
            "telephone_number": "712-579-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF IRWIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "PLUMB",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RESCUE CHIEF",
        "authorized_official_telephone_number": "712-579-1980"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2830400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irwin Volunteer Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.