Organization Active NPI

Washington County Ambulance, Inc.

  • Ambulance
  • Washington, IA
National Provider Identifier
1376537027
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2920100 Issued in IA
Legal business name
WASHINGTON COUNTY AMBULANCE, INC.
Practice address
1120 N 8TH Ave
Box 371
Washington, IA 52353-0371
Phone
(319) 653-2047
Fax
(319) 653-3344
NPI assigned
Sep 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard L Young
Title
President
Phone
(319) 653-2047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2920100 IA Primary

Addresses

Primary practice location

1120 N 8TH Ave
Box 371
Washington, IA 52353-0371

Mailing address

1120 N 8TH Ave
PO Box 371
Washington, IA 52353-2618
Phone (319) 653-2047

Other identifiers 2

IdentifierTypeStateIssuer
0192898MedicaidIA
0419945MedicaidIA

National Provider Directory

National Provider Directory

Locations

1120 N 8th Ave
Washington, IA 52353
Phone (319) 653-2047

1120 N 8th Ave
#371
Washington, IA 52353
Phone (319) 653-2047

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1376537027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N 8TH AVE",
            "address_2": "PO BOX 371",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532618",
            "telephone_number": "319-653-2047",
            "fax_number": "319-653-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N 8TH AVE",
            "address_2": "BOX 371",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523530371",
            "telephone_number": "319-653-2047",
            "fax_number": "319-653-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-653-2047"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2920100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192898",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419945",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.