Ga Combine LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GA COMBINE LLC

Practice address

704 Avenue C
Fort Dodge, IA 50501-4511

Phone

(515) 302-9550

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Michael Ponce

Title

Manager

Phone

(515) 570-8738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1114559929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 AVENUE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014511",
            "telephone_number": "515-302-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 AVENUE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014511",
            "telephone_number": "515-302-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1338 3rd Ave NW Lot 136",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505012274",
            "country_code": "US",
            "telephone_number": "515-302-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GA COMBINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-570-8738"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendship Haven, Inc (Friendship Haven Pharmacy)
• Nicole Friesth, PHARM.D.
• Greg Frommelt, RPH
• Jeffrey Neal Frye
• Caryl Marie Fuoss, LISW
• Ga Combine LLC
• Gary Gansen, DPM
• Danette L Garcia, RN
• Jessica Marie Gardner
• Karrie Nicolle Garnica, RN

• Non-emergency Medical Transport (VAN) in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Non-emergency Medical Transport (VAN) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.