Active NPI
Town of Blockton
- Ambulance
- Blockton, IA
National Provider Identifier
1376595678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- TOWN OF BLOCKTON
- Practice address
- 304 Division Street
Blockton, IA 50836-2066 - Phone
- (641) 788-2655
- Fax
- (641) 788-2655
- NPI assigned
- May 16, 2006
- Last updated
- Aug 3, 2012
- Organization subpart
- Yes
- Parent organization
- TOWN OF BLOCKTON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Montgomery Marcum
- Title
- Billing Officer Treasurer
- Phone
- (641) 788-2655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
304 Division Street
Blockton, IA 50836-2066
Mailing address
405 Division St
Blockton, IA 50836-2066
Phone (641) 788-2655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0138909 | Medicaid | IA |
National Provider Directory
National Provider Directory- Part of
- Town of Blockton
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343952000000",
"number": "1376595678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 DIVISION ST",
"city": "BLOCKTON",
"state": "IA",
"postal_code": "508362066",
"telephone_number": "641-788-2655",
"fax_number": "641-788-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 DIVISION STREET",
"city": "BLOCKTON",
"state": "IA",
"postal_code": "508362066",
"telephone_number": "641-788-2655",
"fax_number": "641-788-2655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF BLOCKTON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWN OF BLOCKTON",
"enumeration_date": "2006-05-16",
"last_updated": "2012-08-03",
"status": "A",
"authorized_official_last_name": "MARCUM",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "MONTGOMERY",
"authorized_official_title_or_position": "BILLING OFFICER TREASURER",
"authorized_official_telephone_number": "641-788-2655",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0138909",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blockton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.