City of Council Bluffs

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2780200 Issued in IA

Legal business name

CITY OF COUNCIL BLUFFS

Doing business as

Council Bluffs Fire Department

Practice address

200 S 4TH St
Emergency Medical Service
Council Bluffs, IA 51503-6529

Phone

(712) 328-4646

Fax

(712) 328-4984

NPI assigned

Dec 19, 2005

Last updated

Feb 26, 2013By 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

Mr. Rick Benson

Title

EMS Officer

Phone

(712) 328-4622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Council Bluffs Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1366428716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PEARL ST",
            "address_2": "FINANCE DEPARTMENT",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-328-4605",
            "fax_number": "712-328-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 4TH ST",
            "address_2": "EMERGENCY MEDICAL SERVICE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036529",
            "telephone_number": "712-328-4646",
            "fax_number": "712-328-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COUNCIL BLUFFS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "EMS OFFICER",
        "authorized_official_telephone_number": "712-328-4622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2780200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045138",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Council Bluffs Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Renee Christensen, PA-C
• Christian Home Association-Children's Square U.S.a. (Children's Square U.S.a.)
• Christian Home Association-Children's Square U.S.a. (Children's Square U.S.a.)
• Christian Home Association-Children's Square U.S.a. (Children's Square U.S.a.)
• Erica K. Cichowski, M.D.
• City of Council Bluffs
• Bailey Clapper, MAT, LAT, ATC
• Carly Ann Clare, NP-C
• Angela Marie Clark, MA
• David Curtis Clark

• Ambulance in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.