Active NPI
City of Boyden
- Ambulance
- Boyden, IA
National Provider Identifier
1356411318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 2840900
- Legal business name
- CITY OF BOYDEN
- Practice address
- 813 Main Street
Boyden, IA 51234-0160 - Phone
- (712) 725-2218
- Fax
- (712) 725-2217
- NPI assigned
- Nov 8, 2006
- Last updated
- Nov 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori E. Wolkow
- Title
- City Administrator
- Phone
- (712) 725-2371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2840900 | IA | Primary |
Addresses
Primary practice location
813 Main Street
Boyden, IA 51234-0160
Mailing address
PO Box 160
Boyden, IA 51234-0160
Phone (712) 725-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114058 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111222000451 | IA | Part B Supplier - Ambulance Service Supplier | 4981870953 | Practice locations: Boyden, IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321833600000",
"number": "1356411318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "BOYDEN",
"state": "IA",
"postal_code": "512340160",
"telephone_number": "712-725-2371",
"fax_number": "712-725-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 MAIN STREET",
"city": "BOYDEN",
"state": "IA",
"postal_code": "512340160",
"telephone_number": "712-725-2218",
"fax_number": "712-725-2217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BOYDEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2011-11-21",
"status": "A",
"authorized_official_last_name": "WOLKOW",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CITY ADMINISTRATOR",
"authorized_official_telephone_number": "712-725-2371"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IA",
"license": "2840900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0114058",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boyden, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.