Greene Volunteer Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2120700 Issued in IA

Legal business name

GREENE VOLUNTEER AMBULANCE SERVICE

Practice address

201 North 2ND St.
Greene, IA 50636-0266

Phone

(641) 823-4131

NPI assigned

Nov 29, 2006

Last updated

Sep 20, 2007By 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

Nancy Fiddick

Title

Bookkeeper

Phone

(641) 816-4153

Specialties & licenses 1

Addresses

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1063589554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "GREENE",
            "state": "IA",
            "postal_code": "506360266",
            "telephone_number": "641-823-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NORTH 2ND ST.",
            "city": "GREENE",
            "state": "IA",
            "postal_code": "506360266",
            "telephone_number": "641-823-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "FIDDICK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "641-816-4153"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2120700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allimont Pharmacies Inc (Greene Pharmacy)
• Ams Memorial-Greene LLC
• Samantha Dow, PHARMD
• John R. Ebensberger, MD
• Greene Community School District
• Heartland Therapy LLC
• Sarah Ann Janssen, LISW
• James Timothy Kern, D.C.
• Mercy Health Services-Iowa Corp
• MMS-Greene Healthcare LLC

• Land Ambulance in Greene, IA
• Providers in Greene, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.