Washington Township

Key facts

NPI

1215967484

Entity type

Organization (NPI type 2)

Primary specialty

Land Ambulance 3416L0300X

License

2630600 (IA)

Legal business name

WASHINGTON TOWNSHIP

Practice address

1032 Virginia St
Columbia, IA 50057-7548

Phone

(877) 882-9911

Fax

(877) 882-9922

NPI assigned

Jul 4, 2006

Organization subpart

No

Authorized official

Name

Mrs. Michele Smith

Title

Account Representative

Phone

(887) 882-9911

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• COLUMBIA FIRE AND RESCUE Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 23, 2007.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1215967484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 VIRGINIA ST",
            "city": "COLUMBIA",
            "state": "IA",
            "postal_code": "500577548",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 VIRGINIA ST",
            "city": "COLUMBIA",
            "state": "IA",
            "postal_code": "500577548",
            "telephone_number": "877-882-9911",
            "fax_number": "877-882-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "ACCOUNT REPRESENTATIVE",
        "authorized_official_telephone_number": "887-882-9911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2630600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452425",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBIA FIRE AND RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}