Active NPI
Anthon Community Ambulance Service Incorporated
Doing business as Anthon Rescue Squad
- Land Ambulance
- Anthon, IA
National Provider Identifier
1093744195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2970100
- Legal business name
- ANTHON COMMUNITY AMBULANCE SERVICE INCORPORATED
- Doing business as
- Anthon Rescue Squad
- Practice address
- 403 Highway 31 S.
Anthon, IA 51004-8244 - Phone
- (859) 757-0565
- Fax
- (712) 373-5227
- NPI assigned
- Jul 1, 2006
- Last updated
- Sep 6, 2018
- 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
- Lori Handke
- Title
- Treasurer
- Phone
- (712) 898-5174
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2970100 | IA | |
| Land Ambulance | 3416L0300X | 2970100 | IA | Primary |
Addresses
Primary practice location
403 Highway 31 S.
Anthon, IA 51004-8244
Mailing address
PO Box 193
Anthon, IA 51004-0193
Phone (859) 757-0565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027458 | Medicaid | IA | |
| 07166 | Other | IA | WELLMARK, BCBS |
Other names 1
- Anthon Rescue Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180925000496 | IA | Part B Supplier - Ambulance Service Supplier | 0143571539 | Practice locations: Anthon, IA |
National Provider Directory
National Provider DirectoryLocations
403 S Highway 31
Anthon, IA 51004
Phone (712) 373-5227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536192000000",
"number": "1093744195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "ANTHON",
"state": "IA",
"postal_code": "510040193",
"telephone_number": "859-757-0565",
"fax_number": "712-373-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 HIGHWAY 31 S.",
"city": "ANTHON",
"state": "IA",
"postal_code": "510048244",
"telephone_number": "859-757-0565",
"fax_number": "712-373-5227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHON COMMUNITY AMBULANCE SERVICE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2018-09-06",
"status": "A",
"authorized_official_last_name": "HANDKE",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "712-898-5174"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IA",
"license": "2970100",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2970100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0027458",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK, BCBS",
"identifier": "07166",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anthon Rescue Squad",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anthon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.