NPIMap

Organization Active NPI

Community Ambulance Service of Preston Iowa

Doing business as Community Ambulance - Preston

  • Land Ambulance
  • Preston, IA
National Provider Identifier
1174532246
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2490600 Issued in IA
Legal business name
COMMUNITY AMBULANCE SERVICE OF PRESTON IOWA
Doing business as
Community Ambulance - Preston
Practice address
42 N Simpson St
Preston, IA 52069-7730
Phone
(563) 687-3301
Fax
(563) 689-3303
NPI assigned
Aug 6, 2006
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mr. Kenneth J AndersonNPI 1447462890
Title
Director of Operations
Phone
(563) 689-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2490600 IA Primary

Addresses

Primary practice location

42 N Simpson St
Preston, IA 52069-7730

Mailing address

42 N Simpson St
Preston, IA 52069-7730
Phone (563) 689-3301

Other identifiers 1

IdentifierTypeStateIssuer
0127696MedicaidIA

Other names 1

  • COMMUNITY AMBULANCE - PRESTON Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110509000532 IA Part B Supplier - Ambulance Service Supplier 7810173838 Practice locations: Miles, IA; Preston, IA

National Provider Directory

National Provider Directory

Locations

42 N Simpson St
Preston, IA 52069
Phone (319) 689-3301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1174532246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N SIMPSON ST",
            "city": "PRESTON",
            "state": "IA",
            "postal_code": "520697730",
            "telephone_number": "563-689-3301",
            "fax_number": "563-689-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N SIMPSON ST",
            "city": "PRESTON",
            "state": "IA",
            "postal_code": "520697730",
            "telephone_number": "563-687-3301",
            "fax_number": "563-689-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AMBULANCE SERVICE OF PRESTON IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "563-689-3301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2490600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127696",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY AMBULANCE - PRESTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Preston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.