Active NPI
Buffalo Volunteer Ambulance Service Inc
- Land Ambulance
- Blue Grass, IA
National Provider Identifier
1073566444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- BUFFALO VOLUNTEER AMBULANCE SERVICE INC
- Practice address
- 606 W Mayne St
Blue Grass, IA 52726-9706 - Phone
- (563) 381-1112
- Fax
- (563) 381-5077
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phil Jones
- Title
- President
- Phone
- (563) 381-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
606 W Mayne St
Blue Grass, IA 52726-9706
Mailing address
PO Box 307
Blue Grass, IA 52726-0307
Phone (563) 381-1112
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0142984 | Medicaid | IA | |
| IA0101 | Other | JOHN DEERE | |
| 000014298 | Other | ADVOCARE MCHMO | |
| 057408 | Other | HEALTH ALLIANCE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355097600000",
"number": "1073566444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "BLUE GRASS",
"state": "IA",
"postal_code": "527260307",
"telephone_number": "563-381-1112",
"fax_number": "563-381-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 W MAYNE ST",
"city": "BLUE GRASS",
"state": "IA",
"postal_code": "527269706",
"telephone_number": "563-381-1112",
"fax_number": "563-381-5077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFFALO VOLUNTEER AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2012-12-10",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "PHIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "563-381-1112"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0142984",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IA0101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCARE MCHMO",
"identifier": "000014298",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "057408",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Grass, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.