Active NPI
Lansing Emergency Medical Services, Inc.
- Land Ambulance
- Lansing, IA
National Provider Identifier
1164583365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2030500
- 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
- Last updated
- Jul 15, 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
- Matt Wagner, EMT-B, R.N.
- Title
- Service Director
- Phone
- (563) 538-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2030500 | IA | Primary |
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 names 1
- Lansing EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090409000137 | IA | Part B Supplier - Ambulance Service Supplier | 3274680202 | Practice locations: Lansing, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D1098017 | Lansing EMS | Certificate of waiver | Apr 8, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247616000000",
"number": "1164583365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FIRST STREET SE",
"city": "WAUKON",
"state": "IA",
"postal_code": "521722022",
"telephone_number": "563-568-3411",
"fax_number": "563-568-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SOUTH FRONT STREET",
"city": "LANSING",
"state": "IA",
"postal_code": "521510102",
"telephone_number": "563-538-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSING EMERGENCY MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2009-07-15",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "SERVICE DIRECTOR",
"authorized_official_telephone_number": "563-538-4111",
"authorized_official_credential": "EMT-B, R.N."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2030500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lansing EMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lansing, IA
- Angela M Cooper, PAC
- Eastern Allamakee CSD
- Gundersen Clinic, LTD.
- Mari S Johnson
- Erica J Krause-Wagner, APNP
- Lansing Housing Corporation (Thornton Manor Nursing and Care Center)
- Schweitzer Chiropractic Inc.
- Jan Arthur Schweitzer, D.C.
- Michael Arthur Schweitzer, D.C.
- Ashley Ann Park Umberger-Marciniak, ACNPC-AG
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.