Bennett Volunteer Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

BENNETT VOLUNTEER AMBULANCE SERVICE

Practice address

145 Main St
Bennett, IA 52721

Phone

(563) 890-2361

NPI assigned

Jan 23, 2006

Last updated

Aug 15, 2007By 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

Mrs. Susan Carol Lyon

Title

Treasurer

Phone

(563) 890-2350

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1306826599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "BENNETT",
            "state": "IA",
            "postal_code": "52721",
            "telephone_number": "563-890-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MAIN ST",
            "city": "BENNETT",
            "state": "IA",
            "postal_code": "52721",
            "telephone_number": "563-890-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "563-890-2350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063446",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennett Community School District
• City of Bennett
• Midway Chiropractic Clinic
• Erin Elizabeth Norby, D.C.

• Ambulance in Bennett, IA
• Providers in Bennett, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.