NPIMap

Organization Active NPI

Farnhamville EMS

  • Land Ambulance
  • Farnhamville, IA
National Provider Identifier
1063574945
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2130800 Issued in IA
Legal business name
FARNHAMVILLE EMS
Practice address
350 Hardin St
Farnhamville, IA 50538
Phone
(866) 332-5335
Fax
(866) 887-2003
NPI assigned
Dec 15, 2006
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Missy J Wise
Title
Account Manager
Phone
(866) 332-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2130800 IA Primary

Addresses

Primary practice location

350 Hardin St
Farnhamville, IA 50538

Mailing address

PO Box 245
Farnhamville, IA 50538-0245
Phone (866) 332-5335

Other identifiers 1

IdentifierTypeStateIssuer
0456673MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1063574945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "FARNHAMVILLE",
            "state": "IA",
            "postal_code": "505380245",
            "telephone_number": "866-332-5335",
            "fax_number": "866-887-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HARDIN ST",
            "city": "FARNHAMVILLE",
            "state": "IA",
            "postal_code": "50538",
            "telephone_number": "866-332-5335",
            "fax_number": "866-887-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARNHAMVILLE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MISSY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "866-332-5335"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2130800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456673",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.