NPIMap

Organization Active NPI

Waterville Fire Dept Volunteer Rescue Squad

  • Land Ambulance
  • Waterville, IA
National Provider Identifier
1932269669
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2030800 Issued in IA
Legal business name
WATERVILLE FIRE DEPT VOLUNTEER RESCUE SQUAD
Practice address
84 Main Street
Waterville, IA 52170-7519
Phone
(563) 535-7261
NPI assigned
Dec 11, 2006
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLAMAKEE EMS ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Jeff Mitchell, EMT-P
Title
Service Director
Phone
(563) 568-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2030800 IA Primary

Addresses

Primary practice location

84 Main Street
Waterville, IA 52170-7519

Mailing address

40 First Street SE
Waukon, IA 52172-2022
Phone (563) 568-3411

Other identifiers 1

IdentifierTypeStateIssuer
20816OtherIABLUE CROSS & BLUE SHIELD

Other names 1

  • Waterville Ambulance Service Other name

National Provider Directory

National Provider Directory
Part of
Allamakee EMS Association

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1932269669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FIRST STREET SE",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521722022",
            "telephone_number": "563-568-3411",
            "fax_number": "563-568-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MAIN STREET",
            "city": "WATERVILLE",
            "state": "IA",
            "postal_code": "521707519",
            "telephone_number": "563-535-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVILLE FIRE DEPT VOLUNTEER RESCUE SQUAD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLAMAKEE EMS ASSOCIATION",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "563-568-3411",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2030800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "20816",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterville Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waterville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.