Organization Active NPI

City of Paullina

Doing business as Paullina Ambulance Service

  • Ambulance
  • Paullina, IA
National Provider Identifier
1114096591
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2710300 Issued in IA
Legal business name
CITY OF PAULLINA
Doing business as
Paullina Ambulance Service
Practice address
219 W Commerce St
Paullina, IA 51046-7888
Phone
(712) 949-3428
Fax
(712) 949-3499
NPI assigned
Nov 7, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Michelle Wilson
Title
City Clerk
Phone
(712) 949-3428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2710300 IA Primary

Addresses

Primary practice location

219 W Commerce St
Paullina, IA 51046-7888

Mailing address

127 South Main
P.O. Box 239
Paullina, IA 51046-0239
Phone (712) 949-3428

Other identifiers 1

IdentifierTypeStateIssuer
128603MedicaidIA

Other names 1

  • PAULLINA AMBULANCE SERVICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000812 IA Part B Supplier - Ambulance Service Supplier 1759540859 Practice locations: Paullina, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2055525Paullina Ambulance Service219 West Commerce Street, Paullina, IA 51046Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1114096591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SOUTH MAIN",
            "address_2": "P.O. BOX 239",
            "city": "PAULLINA",
            "state": "IA",
            "postal_code": "510460239",
            "telephone_number": "712-949-3428",
            "fax_number": "712-949-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W COMMERCE ST",
            "city": "PAULLINA",
            "state": "IA",
            "postal_code": "510467888",
            "telephone_number": "712-949-3428",
            "fax_number": "712-949-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PAULLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "712-949-3428"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2710300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128603",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAULLINA AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paullina, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.