City of Underwood

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF UNDERWOOD

Doing business as

Underwood Rescue

Practice address

218 2ND St
Underwood, IA 51576-8013

Phone

(712) 310-1319

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2010By 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. Martin Moore, EMT-PS

Title

Paramedic/Firefighter

Phone

(712) 310-1319

Specialties & licenses 1

Addresses

Other names 1

• UNDERWOOD RESCUE Doing business as

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

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1003920919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647780",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 2ND ST",
            "city": "UNDERWOOD",
            "state": "IA",
            "postal_code": "515768013",
            "telephone_number": "712-310-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF UNDERWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PARAMEDIC/FIREFIGHTER",
        "authorized_official_telephone_number": "712-310-1319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-PS"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNDERWOOD RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda C Henderson, PHARMD
• Teri Nicole Kirk
• Kimberly Ann Madsen, OT/L
• Amy Lynn Schafer, PHARMD
• Jacqueline Ruth Sullivan-Ogg, ARNP-BC

• Ambulance in Underwood, IA
• Providers in Underwood, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.