Active NPI
Lewis Township Fire and Rescue
- Land Ambulance
- Council Bluffs, IA
National Provider Identifier
1922332808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2781300
- Legal business name
- LEWIS TOWNSHIP FIRE AND RESCUE
- Practice address
- 19770 Cypress Ave
Council Bluffs, IA 51503-5499 - Phone
- (712) 323-1093
- Fax
- (712) 323-9912
- NPI assigned
- Sep 25, 2009
- 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
- Jacob John Hardiman
- Title
- Chief
- Phone
- (402) 415-1665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2781300 | IA | Primary |
Addresses
Primary practice location
19770 Cypress Ave
Council Bluffs, IA 51503-5499
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853
Other names 1
- LEWIS TOWNSHIP 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 |
|---|---|---|---|---|
| O20101018001233 | IA | Part B Supplier - Ambulance Service Supplier | 7719170125 | Practice locations: Council Bluffs, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1922332808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10802 FARNAM DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543237",
"telephone_number": "531-895-5853",
"fax_number": "877-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19770 CYPRESS AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515035499",
"telephone_number": "712-323-1093",
"fax_number": "712-323-9912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS TOWNSHIP FIRE AND RESCUE",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-25",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "HARDIMAN",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "402-415-1665"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2781300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LEWIS TOWNSHIP FIRE & RESCUE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LEWIS TOWNSHIP FIRE & RESCUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.