Active NPI
City of Williams Iowa
- Land Ambulance
- Williams, IA
National Provider Identifier
1013073337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2400600
- Legal business name
- CITY OF WILLIAMS IOWA
- Practice address
- 301 3Rd St
Williams, IA 50271-0000 - Phone
- (515) 887-3553
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy S Harris, CAC
- Title
- Account Manager
- Phone
- (515) 887-3553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2400600 | IA | Primary |
Addresses
Primary practice location
301 3Rd St
Williams, IA 50271-0000
Mailing address
PO Box 7
Williams, IA 50271-0007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119719 | Medicaid | IA |
Other names 1
- WILLIAMS AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120416000306 | IA | Part B Supplier - Ambulance Service Supplier | 1850552043 | Practice locations: Williams, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340323200000",
"number": "1013073337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7",
"city": "WILLIAMS",
"state": "IA",
"postal_code": "502710007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 3RD ST",
"city": "WILLIAMS",
"state": "IA",
"postal_code": "502710000",
"telephone_number": "515-887-3553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF WILLIAMS IOWA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2012-06-22",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "515-887-3553",
"authorized_official_credential": "CAC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2400600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119719",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WILLIAMS AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Williams, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.