Organization Active NPI

Southwest Webster Ambulance Service

Doing business as Gowrie Volunteer Rescue Unit

  • Ambulance
  • Gowrie, IA
National Provider Identifier
1154541316
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2940400 Issued in IA
Legal business name
SOUTHWEST WEBSTER AMBULANCE SERVICE
Doing business as
Gowrie Volunteer Rescue Unit
Practice address
1006 Main Street
Gowrie, IA 50543
Phone
(877) 882-9911
NPI assigned
Apr 27, 2007
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Yalonda Amonson
Title
Account Manager
Phone
(877) 882-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2940400 IA Primary

Addresses

Primary practice location

1006 Main Street
Gowrie, IA 50543

Mailing address

PO Box 417
Gowrie, IA 50543-0417

Other identifiers 1

IdentifierTypeStateIssuer
0092957MedicaidIA

Other names 1

  • GOWRIE VOLUNTEER RESCUE UNIT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000654 IA Part B Supplier - Ambulance Service Supplier 5395898985 Practice locations: Gowrie, IA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1154541316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "GOWRIE",
            "state": "IA",
            "postal_code": "505430417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 MAIN STREET",
            "city": "GOWRIE",
            "state": "IA",
            "postal_code": "50543",
            "telephone_number": "877-882-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WEBSTER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "AMONSON",
        "authorized_official_first_name": "YALONDA",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "877-882-9911"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2940400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092957",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOWRIE VOLUNTEER RESCUE UNIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gowrie, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.