Town of Alton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0133728 Issued in IA

Legal business name

TOWN OF ALTON

Practice address

905 Third Avenue
Alton, IA 51003-0910

Phone

(712) 756-4314

Fax

(712) 756-8999

NPI assigned

Apr 17, 2007

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leon Kleinhesselink

Title

Director

Phone

(712) 756-4314

Specialties & licenses 1

Addresses

Other names 1

• City of Alton Other name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Tax ID family

Alton Fire Rescue2 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.

• Alton Fire & Rescue

  • Ambulance
  • Alton, IA
  • NPI 1588733521
  NPD tax ID

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1245455864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 THIRD AVENUE",
            "address_2": "PO BOX 910",
            "city": "ALTON",
            "state": "IA",
            "postal_code": "510030910",
            "telephone_number": "712-756-4314",
            "fax_number": "712-756-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THIRD AVENUE",
            "city": "ALTON",
            "state": "IA",
            "postal_code": "510030910",
            "telephone_number": "712-756-4314",
            "fax_number": "712-756-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ALTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "KLEINHESSELINK",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "712-756-4314"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "0133728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Alton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alton Fire & Rescue
• Fred L Mousel, DC
• Jaclyn Schelling

• Land Ambulance in Alton, IA
• Providers in Alton, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.