Active NPI
City of Centerville
Doing business as Centerville Fire Rescue
- Land Ambulance
- Centerville, IA
National Provider Identifier
1861969578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190121000747 | IA | Part B Supplier - Ambulance Service Supplier | 8224375845 | Practice locations: Centerville, IA |
National Provider Directory
National Provider DirectoryLocations
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
- Catholic Health Initiatives, Iowa Corp (Mercy Ambulance Service-Centerville)
- Center for Behavioral Services
- Centerville Community Betterment Inc Zylpha Price House
- Centerville CSD
- Chariton Valley Medical Center PC
- Brooke L Comer, DPT, LAT, ATC
- Amanda Condra, ARNP
- Cornerstone Counseling Center
- Cornerstone Counseling Center
- Jennifer Daake
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.