Organization Active NPI

Buffalo Volunteer Ambulance Service Inc

  • Land Ambulance
  • Blue Grass, IA
National Provider Identifier
1073566444
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 10, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0142984MedicaidIA
IA0101OtherJOHN DEERE
000014298OtherADVOCARE MCHMO
057408OtherHEALTH ALLIANCE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.