Town of Churdan

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2370300 Issued in IA

Legal business name

TOWN OF CHURDAN

Doing business as

Churdan Fire and Rescue

Practice address

407 Sand St
Churdan, IA 50050

Phone

(515) 389-3790

Fax

(515) 389-3334

NPI assigned

Feb 14, 2006

Last updated

Jun 19, 2008By 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

Mr. Bill D Gebhart, EMTB

Title

Secretary

Phone

(515) 389-3790

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Churdan Fire and Rescue Doing business as

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1942274436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SAND ST",
            "city": "CHURDAN",
            "state": "IA",
            "postal_code": "50050",
            "telephone_number": "515-389-3790",
            "fax_number": "515-389-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SAND ST",
            "city": "CHURDAN",
            "state": "IA",
            "postal_code": "50050",
            "telephone_number": "515-389-3790",
            "fax_number": "515-389-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CHURDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GEBHART",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "515-389-3790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTB"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2370300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232371",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "29057",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014446",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churdan Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paton-Churdan CSD
• John Warren Van Ness, LMHC, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.