City of Prairie City

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2500500 Issued in IA

Legal business name

CITY OF PRAIRIE CITY

Practice address

203 E. Jefferson St.
Prairie City, IA 50228-0607

Phone

(515) 994-2649

Fax

(515) 994-2376

NPI assigned

Jan 27, 2006

Organization subpart

Yes

Parent organization

CITY OF PRAIRIE CITYAs reported in NPPES

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

Authorized official

Name

Mr. Carl J Van Der Kamp

Title

President

Phone

(515) 994-2649

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

CLIA laboratory certificates

Part of

City of Prairie City

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1003887316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "address_2": "203 E. JEFFERSON ST.",
            "city": "PRAIRIE CITY",
            "state": "IA",
            "postal_code": "502280607",
            "telephone_number": "515-994-2649",
            "fax_number": "515-994-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E. JEFFERSON ST.",
            "city": "PRAIRIE CITY",
            "state": "IA",
            "postal_code": "502280607",
            "telephone_number": "515-994-2649",
            "fax_number": "515-994-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PRAIRIE CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF PRAIRIE CITY",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "VAN DER KAMP",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-994-2649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2500500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022129",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Cawthorn, DO
• Clearview Recovery, Inc.
• Laci Marie Ehler
• Marvin Fangman, M.A., IAADC
• Gregory L. Ingle, D.O., P.C
• Gregory Lee Ingle, D.O.

• Ambulance in Prairie City, IA
• Providers in Prairie City, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.