Camp TWP-Polk County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2771100 Issued in IA

Legal business name

CAMP TWP-POLK COUNTY

Doing business as

Camp Township Fire Department

Practice address

104 Brown
Runnells, IA 50237

Phone

(515) 208-0057

Fax

(515) 966-2824

NPI assigned

Jul 2, 2006

Last updated

May 13, 2024By 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

Craig Thompson

Title

Chief

Phone

(515) 966-2241

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Camp Township Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1902835903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "RUNNELLS",
            "state": "IA",
            "postal_code": "502370056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BROWN",
            "city": "RUNNELLS",
            "state": "IA",
            "postal_code": "50237",
            "telephone_number": "515-208-0057",
            "fax_number": "515-966-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP TWP-POLK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "515-966-2241"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2771100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WELLMARK",
            "identifier": "40116",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL HLTH CARE IA",
            "identifier": "7096900",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin R Brekelmans, BS, CADC
• Hannah Hesse
• Charles G Ingle, LMHC
• Mary Cassandra Owens, DNP, FNP-BC
• Sierra Wright

• Land Ambulance in Runnells, IA
• Providers in Runnells, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.