City of Grundy Center

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF GRUNDY CENTER

Doing business as

Grundy Center Ambulance Service

Practice address

507 F Avenue
Grundy Center, IA 50638

Phone

(319) 825-5480

Fax

(319) 825-6073

NPI assigned

Jan 28, 2007

Last updated

Mar 12, 2015By 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

Ryan Sutcliffe

Title

Administrator

Phone

(319) 825-5480

Specialties & licenses 1

Addresses

Other names 1

• Grundy Center Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1033265228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 F AVENUE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "50638",
            "telephone_number": "319-825-5480",
            "fax_number": "319-825-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 F AVENUE",
            "city": "GRUNDY CENTER",
            "state": "IA",
            "postal_code": "50638",
            "telephone_number": "319-825-5480",
            "fax_number": "319-825-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GRUNDY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "SUTCLIFFE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-825-5480"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grundy Center Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Brewer
• Lora Brunkhorst, COTA
• Calton V and S Pharmacy
• Cedar Valley Medical Specialists, PC (Ortho Surgery Dept/ Grundy)
• Charles J Latendresse
• Larry Clark, RNFA
• Douglas M Cooper, MD
• Creekside, Inc (Creekside)
• Margo Leann Doerdorff, OTR
• E&R Infusions, LLC

• Land Ambulance in Grundy Center, IA
• Providers in Grundy Center, 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 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.