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ASBURY COMMUNITY FIRE DEPARTMENT NPI 1477583623


NPI Information

NPI: 1477583623
Provider Name: ASBURY COMMUNITY FIRE DEPARTMENT

Doing Business As: ASBURY FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 16D0928132

Address:
5485 SARATOGA RD
ASBURY, IA
ZIP 52002
Phone: (563) 556-5874
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ASBURY COMMUNITY FIRE DEPARTMENT is a land transport ambulance in Asbury, IA. ASBURY COMMUNITY FIRE DEPARTMENT NPI is 1477583623. The provider is registered as an organization entity type.
The provider Is Doing Business As Asbury Fire Department.

The provider's business location address is:

5485 SARATOGA RD
ASBURY, IA
ZIP 52002-501
Phone: (563) 556-5874

The provider's authorized official is Brad Kruse .
The authorized official title is Chief and has the following contact phone number (563) 556-5874.

The CLIA number assigned to this NPI record is 16D0928132 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 2/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand TransportYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115572MEDICARE ID-TYPE UNSPECIFIEDMEDICARE
20155721MEDICAIDIOWA
3BCBSOTHERIOWA15572

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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