Greene County Emergency Medical Services, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2370100 Issued in IA

Legal business name

GREENE COUNTY EMERGENCY MEDICAL SERVICES, INC.

Practice address

204 N Grimmell Rd
Jefferson, IA 50129-1732

Phone

(515) 386-4404

Fax

(515) 386-8098

NPI assigned

Feb 8, 2006

Last updated

Aug 22, 2020By 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

Mrs. Marcia Berylene Morlan, EMTP

Title

Vice President

Phone

(515) 386-4404

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013980309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N GRIMMELL RD",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501291732",
            "telephone_number": "515-386-4404",
            "fax_number": "515-386-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N GRIMMELL RD",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501291732",
            "telephone_number": "515-386-4404",
            "fax_number": "515-386-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORLAN",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "BERYLENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "515-386-4404",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2370100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK SUBMITTER NUMBER",
            "identifier": "CSC100427",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0239244",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Development
• Genesis Development
• Genesis Development
• Greater Life Chiropractic LLC
• John W Green, RPH
• Greene County Medical Center (Greene County Medical Center HHA)
• Greene County Medical Center (Greene County Medical Center Public Health)
• Greene County Medical Center
• Greene County Medical Center
• Greene County Medical Center

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

• 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.