County of Madison

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF MADISON

Doing business as

Madison County Ambulance

Practice address

1008 N John Wayne Dr
Winterset, IA 50273-1233

Phone

(515) 462-2253

Fax

(515) 462-2255

NPI assigned

Sep 29, 2005

Last updated

May 17, 2013By 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

Tadd Davis

Title

Director

Phone

(515) 462-2253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MADISON COUNTY AMBULANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Tax ID family

County of Madison2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Madison

  • Public Health or Welfare Agency
  • Winterset, IA
  • NPI 1295701126
  NPD tax ID

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1114914819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N JOHN WAYNE DR",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502731233",
            "telephone_number": "515-462-2253",
            "fax_number": "515-462-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N JOHN WAYNE DR",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502731233",
            "telephone_number": "515-462-2253",
            "fax_number": "515-462-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MADISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TADD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "515-462-2253"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201996",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON COUNTY AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laresa Jean Carney
• Damien Chance, BA
• Kassidy Kae Chen, PA-C
• Stephan M. Cooper, MD
• Country Haven Guests Homes Limited
• County of Madison
• Court Ave Counseling PLLC
• Covered Bridges Chiropractic PLLC
• Whitney Dawson, D.C.
• Kevin Vincent De Regnier, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.

Verify at the official NPI Registry.