Organization Active NPI

Indiana Township Fire Department

  • Land Ambulance
  • Knoxville, IA
National Provider Identifier
1992466700
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
INDIANA TOWNSHIP FIRE DEPARTMENT
Practice address
1980 Hwy G76
Knoxville, IA 50138-5013
Phone
(641) 218-1194
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Mr. Steven Watson, FF/EMT
Title
Fire Chief
Phone
(641) 218-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1980 Hwy G76
Knoxville, IA 50138-5013

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220616001101 IA Part B Supplier - Ambulance Service Supplier 6709265002 Practice locations: Knoxville, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1992466700",
    "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": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 HWY G76",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501385013",
            "telephone_number": "641-218-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA TOWNSHIP FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "641-218-1194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FF/EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.