NPIMap

Organization Active NPI

Pomeroy Ambulance Service

  • Land Ambulance
  • Pomeroy, IA
National Provider Identifier
1184780488
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1306 Issued in IA
Legal business name
POMEROY AMBULANCE SERVICE
Practice address
114 Ontario
Pomeroy, IA 50575
Phone
(712) 468-2411
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Julia M Pettit
Title
City Clerk
Phone
(712) 468-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1306 IA Primary

Addresses

Primary practice location

114 Ontario
Pomeroy, IA 50575

Mailing address

PO Box 220
Pomeroy, IA 50575-0220

Other identifiers 1

IdentifierTypeStateIssuer
0007930MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1184780488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "POMEROY",
            "state": "IA",
            "postal_code": "505750220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ONTARIO",
            "city": "POMEROY",
            "state": "IA",
            "postal_code": "50575",
            "telephone_number": "712-468-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMEROY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "712-468-2411"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007930",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomeroy, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.