City of Red Oak

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2690200 Issued in IA

Legal business name

CITY OF RED OAK

Practice address

1800 N Broadway St
Red Oak, IA 51566-1005

Phone

(712) 623-6504

Fax

(712) 623-6507

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Rick Askey

Title

Fire Chief

Phone

(712) 623-6504

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CITY OF RED OAK AMBULANCE SERVICE Doing business as

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1063589232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N BROADWAY ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661005",
            "telephone_number": "712-623-6504",
            "fax_number": "712-623-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N BROADWAY ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661005",
            "telephone_number": "712-623-6504",
            "fax_number": "712-623-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RED OAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "ASKEY",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "712-623-6504"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2690200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251777",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25177",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF RED OAK AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lynn Bond, RD, LMNT, LD, CNSC
• Dara Brandt, PHARMD
• Christel Erika De Guzman Bullis, PT, DPT
• William Butz, M.D.
• CCC PC
• Shawna Rene' Allgood Clark, RN
• Kelli S. Confer, D.C.
• Abigail Couse, MS CCC-A
• Brian E. Couse, MD
• Crystal Sharp Counseling, LLC

• All providers in Red Oak, IA
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.