Organization Active NPI

Wheatland Emergency Medical Service Inc

  • Land Ambulance
  • Wheatland, IA
National Provider Identifier
1275699589
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2230900 Issued in IA
Legal business name
WHEATLAND EMERGENCY MEDICAL SERVICE INC
Practice address
204 Madison St East
Wheatland, IA 52777
Phone
(515) 887-3553
NPI assigned
Dec 29, 2006
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Angie Weichert
Title
Account Manager
Phone
(515) 887-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2230900 IA Primary

Addresses

Primary practice location

204 Madison St East
Wheatland, IA 52777

Mailing address

PO Box 1
Wheatland, IA 52777-0001

Other identifiers 1

IdentifierTypeStateIssuer
0213934MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000900 IA Part B Supplier - Ambulance Service Supplier 1153580485 Practice locations: Wheatland, 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": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1275699589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "WHEATLAND",
            "state": "IA",
            "postal_code": "527770001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MADISON ST EAST",
            "city": "WHEATLAND",
            "state": "IA",
            "postal_code": "52777",
            "telephone_number": "515-887-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATLAND EMERGENCY MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "WEICHERT",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "515-887-3553"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2230900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213934",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatland, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.