NPIMap

Organization Active NPI

Denver Ambulance Service

  • Land Ambulance
  • Denver, IA
National Provider Identifier
1184989576
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2090700 Issued in IA
Legal business name
DENVER AMBULANCE SERVICE
Practice address
230 Transit Street
Denver, IA 50622
Phone
(319) 984-5000
Fax
(319) 984-9190
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
David L Ryherd
Title
MGR/Billing
Phone
(319) 984-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2090700 IA Primary

Addresses

Primary practice location

230 Transit Street
Denver, IA 50622

Mailing address

P.O. Box 471
230 Transit Street
Denver, IA 50622
Phone (319) 984-5000

Other identifiers 2

IdentifierTypeStateIssuer
12840OtherIABLUE CROSS BLUE SHIELD
0128405MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000333 IA Part B Supplier - Ambulance Service Supplier 0547418816 Practice locations: Denver, IA

National Provider Directory

National Provider Directory
Tax ID family
Denver Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1184989576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 471",
            "address_2": "230 TRANSIT STREET",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "50622",
            "telephone_number": "319-984-5000",
            "fax_number": "319-984-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 TRANSIT STREET",
            "city": "DENVER",
            "state": "IA",
            "postal_code": "50622",
            "telephone_number": "319-984-5000",
            "fax_number": "319-984-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "RYHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MGR/BILLING",
        "authorized_official_telephone_number": "319-984-5000"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2090700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12840",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128405",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.