Organization Active NPI

Dayton Rescue Squad

  • Basic Emergency Medical Technician
  • Dayton, IA
National Provider Identifier
1891862306
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
2940300 Issued in IA
Legal business name
DAYTON RESCUE SQUAD
Practice address
27 1St Ave SW
Dayton, IA 50530-7661
Phone
(515) 547-2252
NPI assigned
Nov 29, 2006
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mr. Steve Craig Elifrits
Title
Sec Treas
Phone
(515) 547-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 2940300 IA Primary

Addresses

Primary practice location

27 1St Ave SW
Dayton, IA 50530-7661

Mailing address

27 1St Ave SW
Dayton, IA 50530-7661
Phone (515) 547-2252

Other identifiers 1

IdentifierTypeStateIssuer
0092650MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000027 IA Part B Supplier - Ambulance Service Supplier 0244492692 Practice locations: Dayton, 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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1891862306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 1ST AVE SW",
            "city": "DAYTON",
            "state": "IA",
            "postal_code": "505307661",
            "telephone_number": "515-547-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 1ST AVE SW",
            "city": "DAYTON",
            "state": "IA",
            "postal_code": "505307661",
            "telephone_number": "515-547-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "ELIFRITS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "515-547-2252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IA",
            "license": "2940300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092650",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.