Organization Active NPI

City of Stratford

Doing business as Stratford Volunteer Fire Department

  • Land Ambulance
  • Stratford, IA
National Provider Identifier
1083770382
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
24003 Issued in IA
Legal business name
CITY OF STRATFORD
Doing business as
Stratford Volunteer Fire Department
Practice address
630 Highway 175
Stratford, IA 50249-7709
Phone
(515) 887-3553
Fax
(515) 887-2000
NPI assigned
Dec 29, 2006
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Angie Weichert
Title
Account Manager
Phone
(515) 887-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 24003 IA Primary

Addresses

Primary practice location

630 Highway 175
Stratford, IA 50249-7709

Mailing address

PO Box 218
Stratford, IA 50249-0218

Other identifiers 1

IdentifierTypeStateIssuer
0019521MedicaidIA

Other names 1

  • STRATFORD VOLUNTEER FIRE DEPARTMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120116000146 IA Part B Supplier - Ambulance Service Supplier 0345417374 Practice locations: Stratford, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1083770382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "STRATFORD",
            "state": "IA",
            "postal_code": "502490218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HIGHWAY 175",
            "city": "STRATFORD",
            "state": "IA",
            "postal_code": "502497709",
            "telephone_number": "515-887-3553",
            "fax_number": "515-887-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF STRATFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "WEICHERT",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "515-887-3553"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "24003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019521",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRATFORD VOLUNTEER FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.