City of Waukee

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF WAUKEE

Practice address

230 Highway 6
Waukee, IA 50263-5004

Phone

(515) 987-4522

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Kooistra

Title

City Manager

Phone

(515) 987-4522

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174664957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HIGHWAY 6",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635004",
            "telephone_number": "515-987-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HIGHWAY 6",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635004",
            "telephone_number": "515-987-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WAUKEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOOISTRA",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "515-987-4522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232413",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC BS NUMBER",
            "identifier": "42879",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Candelaria
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• Bradley A Chamberlain, LISW, LCSW
• Fanny Chan
• Christian Transportation Service,LLC
• Coen Counseling
• Abby Elizabeth Conrad, MA, CCC-SLP
• Tricia L Cooperrider, DO
• Carter Coppinger
• Lillian Cote

• Land Ambulance in Waukee, IA
• Providers in Waukee, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.