Organization Active NPI

City of Villisca

Doing business as Villisca Ambulance Service

  • Land Ambulance
  • Villisca, IA
National Provider Identifier
1255376554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF VILLISCA
Doing business as
Villisca Ambulance Service
Practice address
207 S 3Rd Ave
Villisca, IA 50864-1142
Phone
(712) 826-2282
Fax
(712) 826-3181
NPI assigned
Jun 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elinor S Brown
Title
City Clerk
Phone
(712) 826-2282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

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 names 1

  • Villisca Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000698 IA Part B Supplier - Ambulance Service Supplier 9436317658 Practice locations: Villisca, IA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255376554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S 3RD AVE",
            "city": "VILLISCA",
            "state": "IA",
            "postal_code": "508641143",
            "telephone_number": "712-826-2282",
            "fax_number": "712-826-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S 3RD AVE",
            "city": "VILLISCA",
            "state": "IA",
            "postal_code": "508641142",
            "telephone_number": "712-826-2282",
            "fax_number": "712-826-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VILLISCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELINOR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "712-826-2282",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villisca Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villisca, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.