City of Council Bluffs
Organization Active NPI Ambulance · Council Bluffs, IA
NPI 1366428716 · NPPES record last updated Feb 26, 2013
Key facts
- NPI
- 1366428716
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 2780200 (IA)
- Legal business name
- CITY OF COUNCIL BLUFFS
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Rick Benson
- Title
- EMS Officer
- Phone
- (712) 328-4622
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100116000015 | IA | Part B Supplier - Ambulance Service Supplier | 4183766991 | Practice locations: Council Bluffs, IA |
National Provider Directory
Locations
209 Pearl St
Council Bluffs, IA 51503
Phone (712) 328-4666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2780200 | IA | Yes |
Addresses
Primary practice location
200 S 4TH St
Emergency Medical Service
Council Bluffs, IA 51503-6529
Mailing address
209 Pearl St
Finance Department
Council Bluffs, IA 51503
Phone (712) 328-4605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0045138 | Medicaid | IA |
Other names
- Council Bluffs Fire Department
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.