Organization Active NPI

City of Boyden

  • Ambulance
  • Boyden, IA
National Provider Identifier
1356411318
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2840900 Issued in IA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0114058MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111222000451 IA Part B Supplier - Ambulance Service Supplier 4981870953 Practice locations: Boyden, IA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.