Bi-County Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2310400 Issued in IA

Legal business name

BI-COUNTY AMBULANCE

Practice address

1503 6TH St SE
Dyersville, IA 52040

Phone

(563) 875-8628

Fax

(563) 875-8628

NPI assigned

Aug 16, 2006

Last updated

Dec 18, 2008By 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

Judy R Boge, EMT

Title

Office Manager

Phone

(563) 875-8628

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1144333998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "1503 6TH ST SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "52040",
            "telephone_number": "563-875-8628",
            "fax_number": "563-875-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 6TH ST SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "52040",
            "telephone_number": "563-875-8628",
            "fax_number": "563-875-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BI-COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "BOGE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "563-875-8628",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2310400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173732",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "17373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.