Organization Active NPI

Garner Volunteer Ambulance Service

  • Land Ambulance
  • Garner, IA
National Provider Identifier
1316062201
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2410400 Issued in IA
Legal business name
GARNER VOLUNTEER AMBULANCE SERVICE
Practice address
575 W 3Rd St
Garner, IA 50438-1209
Phone
(641) 923-2546
Fax
(641) 923-4808
NPI assigned
Mar 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lisa L Barker, EMT-I
Title
Billing Clerk
Phone
(641) 923-2546

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100206000015 IA Part B Supplier - Ambulance Service Supplier 6800939232 Practice locations: Garner, IA

National Provider Directory

National Provider Directory

Locations

575 W 3rd St
Garner, IA 50438
Phone (641) 923-2546

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2410400 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

575 W 3Rd St
Garner, IA 50438-1209

Mailing address

575 W 3Rd St
PO Box 1
Garner, IA 50438-1209
Phone (641) 923-2546

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
122465MedicaidIA

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316062201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 W 3RD ST",
            "address_2": "PO BOX 1",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381209",
            "telephone_number": "641-923-2546",
            "fax_number": "641-923-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W 3RD ST",
            "city": "GARNER",
            "state": "IA",
            "postal_code": "504381209",
            "telephone_number": "641-923-2546",
            "fax_number": "641-923-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "641-923-2546",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2410400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122465",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, 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.