Organization Active NPI

Toledo Emergency Services

  • Land Ambulance
  • Toledo, IA
National Provider Identifier
1194724344
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2860600 Issued in IA
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

Updated by the provider on Jul 20, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0199984MedicaidIA
09592OtherIAIA. BC/BS
590006522OtherIARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100202000203 IA Part B Supplier - Ambulance Service Supplier 8729121595 Practice locations: Toledo, IA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.