City of Camanche
Organization Active NPI Ambulance · Camanche, IA
NPI 1073764007 · NPPES record last updated Jul 29, 2009
Key facts
- NPI
- 1073764007
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2230200 (IA)
- Legal business name
- CITY OF CAMANCHE
- Practice address
- 720 9TH Ave
Camanche, IA 52730-1445 - Phone
- (563) 259-1112
- Fax
- (563) 259-8146
- NPI assigned
- Oct 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Dave C Schutte
- Title
- Fire Chief
- Phone
- (563) 259-1112
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1056184 | Camanche Volunteer Fire Department | Certificate of waiver | Jul 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091102000527 | IA | Part B Supplier - Ambulance Service Supplier | 1759428212 | Practice locations: Camanche, IA |
National Provider Directory
Locations
720 9th Ave
Camanche, IA 52730
Phone (563) 259-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2230200 | IA | Yes |
Addresses
Primary practice location
720 9TH Ave
Camanche, IA 52730-1445
Mailing address
720 9TH Ave
PO Box 77
Camanche, IA 52730-1445
Phone (563) 259-1112
Other names
- Camanche Volunteer Fire Department
Other providers in Camanche, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.