Active NPI
City of Stratford
Doing business as Stratford Volunteer Fire Department
- Land Ambulance
- Stratford, IA
National Provider Identifier
1083770382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 24003
- 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, 2016
- 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
- Angie Weichert
- Title
- Account Manager
- Phone
- (515) 887-3553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019521 | Medicaid | IA |
Other names 1
- STRATFORD VOLUNTEER FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120116000146 | IA | Part B Supplier - Ambulance Service Supplier | 0345417374 | Practice locations: Stratford, IA |
National Provider Directory
National Provider DirectoryNPI 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
- Care Initiatives (Stratford Specialty Care)
- Frederick C and Ann M Marcalus (Family Pharmacy)
- Hamilton County Public Hospital (Van Diest Medical Center Stratford Clinic)
- Hamilton County Public Hospital (Hamilton Hospital Stratford Clinic)
- North Central Iowa Mental Health Center Inc (Berryhill Center for Mental Health)
- Penny R Osborn, PA
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.