City of Monticello

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2530200 Issued in IA

Legal business name

CITY OF MONTICELLO

Practice address

220 E South St
Monticello, IA 52310-1920

Phone

(605) 882-9911

Fax

(515) 839-5354

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Doug Herman

Title

City Administrator

Phone

(319) 465-3577

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1013044270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E SOUTH ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101920",
            "telephone_number": "605-882-9911",
            "fax_number": "515-839-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E SOUTH ST",
            "city": "MONTICELLO",
            "state": "IA",
            "postal_code": "523101920",
            "telephone_number": "605-882-9911",
            "fax_number": "515-839-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONTICELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "319-465-3577"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2530200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085209",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08520",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinn Scott Behrends, DC
• Madison Nicole Bohlken
• Amanda Lyn Brenneman, ARNP, FNP-BC
• Emma Ann Brighton
• Camp Courageous of Iowa
• Broderick Eugene Clemmons
• County of Jones (Jets Transportation)
• Kristen K Decker, RD, LD
• Lacy Shay Doyle, M.A.
• Eastern Iowa Visiting Nurses and Home Health Care, LLC

• Land Ambulance in Monticello, IA
• Providers in Monticello, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.