City of Sergeant Bluff

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF SERGEANT BLUFF

Practice address

204 Port Neal Road
Sergeant Bluff, IA 51054-0000

Phone

(712) 251-6923

Fax

(712) 943-5006

NPI assigned

Jul 5, 2006

Last updated

May 10, 2023By 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

Dean Lauters

Title

Assistant Chief

Phone

(712) 943-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sergeant Bluff Fire & Rescue Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1033140272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PORT NEAL ROAD",
            "address_2": "PO BOX 609",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510540609",
            "telephone_number": "712-943-5000",
            "fax_number": "712-943-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PORT NEAL ROAD",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510540000",
            "telephone_number": "712-251-6923",
            "fax_number": "712-943-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SERGEANT BLUFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "LAUTERS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "712-943-5000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15476",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154765",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sergeant Bluff Fire & Rescue",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sergeant Bluff Fire & Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Sergeant Bluff, IA
• Providers in Sergeant Bluff, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.