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
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1098017 | Lansing EMS | Certificate of waiver | Apr 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090409000137 | IA | Part B Supplier - Ambulance Service Supplier | 3274680202 | Practice locations: Lansing, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99971 | Other | IA | WELLMARK BCBS OF IA |
| 33887 | Other | IA | BLUE CROSS & BLUE SHIELD |
Other names
- Lansing EMS
Other providers in Lansing, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.