City of Olin

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2530500 Issued in IA

Legal business name

CITY OF OLIN

Doing business as

Olin Ambulance Service

Practice address

105 W Cleveland St
Olin, IA 52320-9500

Phone

(319) 484-2875

Fax

(319) 484-2875

NPI assigned

Nov 16, 2005

Last updated

Aug 18, 2022By 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. Patricia Moore

Title

President of Ambulance Board

Phone

(319) 484-2139

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olin Ambulance Service Doing business as

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": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1063494052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 FRANK ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032593",
            "telephone_number": "877-642-9543",
            "fax_number": "715-852-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CLEVELAND ST",
            "city": "OLIN",
            "state": "IA",
            "postal_code": "523209500",
            "telephone_number": "319-484-2875",
            "fax_number": "319-484-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT OF AMBULANCE BOARD",
        "authorized_official_telephone_number": "319-484-2139",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2530500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085860",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olin Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olin Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Jean Dolan, M.S., R.D.
• Grafft Chiropractic LLC
• Olin Consolidated School District

• Land Ambulance in Olin, IA
• Providers in Olin, 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 18, 2022; 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.