Active NPI
Southwest Webster Ambulance Service
Doing business as Gowrie Volunteer Rescue Unit
- Ambulance
- Gowrie, IA
National Provider Identifier
1154541316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 2940400
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092957 | Medicaid | IA |
Other names 1
- GOWRIE VOLUNTEER RESCUE UNIT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090729000654 | IA | Part B Supplier - Ambulance Service Supplier | 5395898985 | Practice locations: Gowrie, IA |
National Provider Directory
National Provider DirectoryNPI 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.