City of Clarksville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2120300 Issued in IA

Legal business name

CITY OF CLARKSVILLE

Practice address

115 W Superior
Clarksville, IA 50619

Phone

(319) 278-4531

Fax

(319) 278-4941

NPI assigned

Oct 5, 2006

Organization subpart

No

Name

Larry D Betts

Title

City Clerk/Treasurer

Phone

(319) 278-4531

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

• CLARKSVILLE AMBULANCE SERVICE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285720458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SUPERIOR",
            "city": "CLARKSVILLE",
            "state": "IA",
            "postal_code": "50619",
            "telephone_number": "319-278-4531",
            "fax_number": "319-278-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SUPERIOR",
            "city": "CLARKSVILLE",
            "state": "IA",
            "postal_code": "50619",
            "telephone_number": "319-278-4531",
            "fax_number": "319-278-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLARKSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CITY CLERK/TREASURER",
        "authorized_official_telephone_number": "319-278-4531"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2120300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059055",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARKSVILLE AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allimont Pharmacies Inc
• Jenna Bruns, PT
• Chelsea Ann Capper
• Valerie J Chesnut, LISW, RPT
• Clarksville Community School District
• Community Nursing Home Inc
• Community Nursing Home Inc
• Sharon Duclos, MD
• Courtney Hoelscher, ARNP

• All providers in Clarksville, IA
• Land Ambulance in Iowa

• 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.