Organization Active NPI

Centralia Peosta Community Fire Department

  • Ambulance
  • Peosta, IA
National Provider Identifier
1972583714
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2316100 Issued in IA
Legal business name
CENTRALIA PEOSTA COMMUNITY FIRE DEPARTMENT
Practice address
8579 Tennis LN
Box 93
Peosta, IA 52068-9501
Phone
(888) 505-7563
NPI assigned
Jan 18, 2006
Last updated
Jan 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Authorized official

Name
Paul Beimborn
Title
Billing Officer
Phone
(563) 582-3869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2316100 IA Primary

Addresses

Primary practice location

8579 Tennis LN
Box 93
Peosta, IA 52068-9501

Mailing address

8579 Tennis LN
Box 93
Peosta, IA 52068-9501
Phone (888) 505-7563

Other identifiers 1

IdentifierTypeStateIssuer
0456822MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050226000042 IA Part B Supplier - Ambulance Service Supplier 2961455233 Practice locations: Peosta, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1022260Centralia/Peosta Fire Department8579 Tennis Lane, Peosta, IA 52068Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory

Locations

8579 Tennis Ln
Peosta, IA 52068
Phone (563) 564-6863

8579 Tennis Ln
#93
Peosta, IA 52068
Phone (888) 505-7563

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768003200000",
    "number": "1972583714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8579 TENNIS LN",
            "address_2": "BOX 93",
            "city": "PEOSTA",
            "state": "IA",
            "postal_code": "520689501",
            "telephone_number": "888-505-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8579 TENNIS LN",
            "address_2": "BOX 93",
            "city": "PEOSTA",
            "state": "IA",
            "postal_code": "520689501",
            "telephone_number": "888-505-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALIA PEOSTA COMMUNITY FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A",
        "authorized_official_last_name": "BEIMBORN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "563-582-3869"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2316100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456822",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peosta, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; 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.