City of la Porte City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2070600 Issued in IA

Legal business name

CITY OF LA PORTE CITY

Practice address

202 Main St
La Porte City, IA 50651-1234

Phone

(319) 342-2232

Fax

(319) 342-3770

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Katie L Davison

Title

Authorized Official

Phone

(319) 342-2232

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1033112669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAIN ST",
            "city": "LA PORTE CITY",
            "state": "IA",
            "postal_code": "506511234",
            "telephone_number": "319-342-2232",
            "fax_number": "319-342-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAIN ST",
            "city": "LA PORTE CITY",
            "state": "IA",
            "postal_code": "506511234",
            "telephone_number": "319-342-2232",
            "fax_number": "319-342-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LA PORTE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "319-342-2232"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2070600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE CO'S",
            "identifier": "00390",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458661",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "I12613",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039008",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Joanne Alderman, COTA/L
• Kristin Anne Beermann, ARNP
• Brendon Thomas Boerm, DDS
• Care Initiatives
• Covenant Medical Center Inc
• Donna D Pipho DDS
• Christine Ewald, LMHC LPC
• Mariah Ann Fury-Swisher, ARNP
• Gina S Holman

• Land Ambulance in La Porte City, IA
• Providers in La Porte City, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.