Town of Brooklyn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2790600 Issued in IA

Legal business name

TOWN OF BROOKLYN

Doing business as

East Poweshiek County Ambulance

Practice address

134 Jackson
Brooklyn, IA 52211-0269

Phone

(641) 522-7371

Fax

(641) 522-7400

NPI assigned

Oct 12, 2006

Last updated

Jan 18, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

TOWN OF BROOKLYNAs reported in NPPES

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

Authorized official

Name

Dorothy McConnell

Title

Treasurer

Phone

(641) 522-7371

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EAST POWESHIEK COUNTY AMBULANCE Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Part of

Town of Brooklyn

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1306935101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522110269",
            "telephone_number": "641-522-7371",
            "fax_number": "641-522-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 JACKSON",
            "city": "BROOKLYN",
            "state": "IA",
            "postal_code": "522110269",
            "telephone_number": "641-522-7371",
            "fax_number": "641-522-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BROOKLYN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF BROOKLYN",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "641-522-7371"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2790600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123018",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST POWESHIEK COUNTY AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marengo Memorial Hospital (Brooklyn Family Medical Clinic)
• Melissa Moyer, COTA/L
• Michele Leann Schultz, FNP-BC
• Samantha Smith, PA-C
• Thompson & Thompson Long Term Care Inc (Brooklyn Pharmacy)
• Emily Wagner
• Alan Edward Wiedenman, D.C.

• Land Ambulance in Brooklyn, IA
• Providers in Brooklyn, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.