City of Villisca
Organization Active NPI Land Ambulance · Villisca, IA
NPI 1255376554 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1255376554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF VILLISCA
- Practice address
- 207 S 3Rd Ave
Villisca, IA 50864-1142 - Phone
- (712) 826-2282
- Fax
- (712) 826-3181
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Elinor S Brown
- Title
- City Clerk
- Phone
- (712) 826-2282
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120220000698 | IA | Part B Supplier - Ambulance Service Supplier | 9436317658 | Practice locations: Villisca, IA |
National Provider Directory
Locations
207 S 3rd Ave
Villisca, IA 50864
Phone (712) 826-2282
318 S 3rd Ave
Villisca, IA 50864
Phone (712) 826-2282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
207 S 3Rd Ave
Villisca, IA 50864-1142
Mailing address
318 S 3Rd Ave
Villisca, IA 50864-1143
Phone (712) 826-2282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0022988 | Medicaid | IA |
Other names
- Villisca Ambulance Service
Other providers in Villisca, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.