Lansing Emergency Medical Services, Inc.

Organization Active NPI Land Ambulance · Lansing, IA

NPI 1164583365 · NPPES record last updated Jul 15, 2009

Key facts

NPI
1164583365
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
2030500 (IA)
Legal business name
LANSING EMERGENCY MEDICAL SERVICES, INC.
Practice address
51 South Front Street
Lansing, IA 52151-0102
Phone
(563) 538-4111
NPI assigned
Dec 12, 2006
Organization subpart
No

Authorized official

Name
Matt Wagner, EMT-B, R.N.
Title
Service Director
Phone
(563) 538-4111

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1098017Lansing EMS
51 South Front Street, PO Box 103, Lansing, IA 52151
Certificate of waiverApr 8, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090409000137 IA Part B Supplier - Ambulance Service Supplier 3274680202 Practice locations: Lansing, IA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2030500 IA Yes

Addresses

Primary practice location

51 South Front Street
Lansing, IA 52151-0102

Mailing address

40 First Street SE
Waukon, IA 52172-2022
Phone (563) 568-3411

Other identifiers

IdentifierTypeStateIssuer
99971OtherIAWELLMARK BCBS OF IA
33887OtherIABLUE CROSS & BLUE SHIELD

Other names

  • Lansing EMS Other name

Other providers in Lansing, IA

All providers in Lansing, IA · Land Ambulance in Iowa

Sources for this page

Verify at the official NPI Registry.