Estherville Ambulance Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ESTHERVILLE AMBULANCE SERVICE INC.

Practice address

15 N 1St St
Estherville, IA 51334-2101

Phone

(712) 362-4221

Fax

(712) 362-4221

NPI assigned

Oct 17, 2006

Last updated

Dec 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brad Held

Title

Service Co - Director

Phone

(531) 895-5853

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• COMMUNITY AMBULANCE SERVICE INC. Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1093896391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N 1ST ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342101",
            "telephone_number": "712-362-4221",
            "fax_number": "712-362-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHERVILLE AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HELD",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "SERVICE CO - DIRECTOR",
        "authorized_official_telephone_number": "531-895-5853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IA",
            "license": "PS-18-018-07",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017426",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY AMBULANCE SERVICE INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maureen Helen Doherty, PTA
• Shannon M Edwards, FNTP
• Emmet County Case Management
• Kristine Ann Enerson
• Estherville Al Windsor Manor
• Estherville C.S.D.
• Estherville Drug Company Inc
• Estherville Family Chiropractic P.C.
• Estherville Opco LLC (Estherville Community Care Center)
• Estherville Opco LLC (Estherville Community Care Center)

• Land Ambulance in Estherville, IA
• Providers in Estherville, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.