Organization Active NPI

City of Centerville

Doing business as Centerville Fire Rescue

  • Land Ambulance
  • Centerville, IA
National Provider Identifier
1861969578
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF CENTERVILLE
Doing business as
Centerville Fire Rescue
Practice address
314 E Maple St
Centerville, IA 52544-2238
Phone
(641) 856-2314
Fax
(641) 437-1498
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Jason Fraser
Title
City Administrator
Phone
(641) 437-4339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

314 E Maple St
Centerville, IA 52544-2238

Mailing address

PO Box 578
Centerville, IA 52544-0578
Phone (641) 437-4339

Other names 1

  • Centerville Fire Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190121000747 IA Part B Supplier - Ambulance Service Supplier 8224375845 Practice locations: Centerville, IA

National Provider Directory

National Provider Directory

Locations

314 E Maple St
Centerville, IA 52544
Phone (641) 437-4339

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1861969578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525440578",
            "telephone_number": "641-437-4339",
            "fax_number": "641-437-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAPLE ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525442238",
            "telephone_number": "641-856-2314",
            "fax_number": "641-437-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CENTERVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "641-437-4339"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerville Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centerville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.