NPIMap

Organization Active NPI

Benton-Linn Ambulance Service Inc

  • Land Ambulance
  • Palo, IA
National Provider Identifier
1013054089
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BENTON-LINN AMBULANCE SERVICE INC
Practice address
505 Vinton St
Box 276
Palo, IA 52324-0276
Phone
(319) 851-4831
Fax
(319) 851-4831
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sheila A. Mason, NONE
Title
Secretary,Treasurer
Phone
(319) 851-4831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X IA Primary

Addresses

Primary practice location

505 Vinton St
Box 276
Palo, IA 52324-0276

Mailing address

505 Vinton St.
Box 276
Palo, IA 52324-0276
Phone (319) 851-4831

Other identifiers 1

IdentifierTypeStateIssuer
0133124MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013054089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 VINTON ST.",
            "address_2": "BOX 276",
            "city": "PALO",
            "state": "IA",
            "postal_code": "523240276",
            "telephone_number": "319-851-4831",
            "fax_number": "319-851-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 VINTON ST",
            "address_2": "BOX 276",
            "city": "PALO",
            "state": "IA",
            "postal_code": "523240276",
            "telephone_number": "319-851-4831",
            "fax_number": "319-851-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON-LINN AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SECRETARY,TREASURER",
        "authorized_official_telephone_number": "319-851-4831",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133124",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.