Active NPI
Toledo Emergency Services
- Land Ambulance
- Toledo, IA
National Provider Identifier
1194724344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2860600
- Legal business name
- TOLEDO EMERGENCY SERVICES
- Practice address
- 100 S County Rd
Toledo, IA 52342-1056 - Phone
- (641) 484-3580
- Fax
- (641) 484-2691
- NPI assigned
- Jul 19, 2005
- 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
- Mr. Gregory A. Johnson, EMT-P
- Title
- EMS Director-City of Toledo
- Phone
- (641) 484-3580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2860600 | IA | Primary |
Addresses
Primary practice location
100 S County Rd
Toledo, IA 52342-1056
Mailing address
PO Box 64
Toledo, IA 52342-0064
Phone (641) 484-3580
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0199984 | Medicaid | IA | |
| 09592 | Other | IA | IA. BC/BS |
| 590006522 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100202000203 | IA | Part B Supplier - Ambulance Service Supplier | 8729121595 | Practice locations: Toledo, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500508800000",
"number": "1194724344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64",
"city": "TOLEDO",
"state": "IA",
"postal_code": "523420064",
"telephone_number": "641-484-3580",
"fax_number": "641-484-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S COUNTY RD",
"city": "TOLEDO",
"state": "IA",
"postal_code": "523421056",
"telephone_number": "641-484-3580",
"fax_number": "641-484-2691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO EMERGENCY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2017-07-20",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "EMS DIRECTOR-CITY OF TOLEDO",
"authorized_official_telephone_number": "641-484-3580",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2860600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0199984",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA. BC/BS",
"identifier": "09592",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590006522",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.