Organization Active NPI

School Bus Sales Co.

  • Durable Medical Equipment & Medical Supplies
  • Waterloo, IA
National Provider Identifier
1386649275
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCHOOL BUS SALES CO.
Doing business as
Cedar Valley Mobility
Practice address
3804 Hammond Ave
Waterloo, IA 50702-5618
Phone
(319) 291-7210
Fax
(319) 233-9289
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Mr. Michael John Andrews
Title
Manager
Phone
(319) 296-1363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3804 Hammond Ave
Waterloo, IA 50702-5618

Mailing address

4537 Texas St
Waterloo, IA 50702-4525
Phone (319) 296-1363

Other identifiers 3

IdentifierTypeStateIssuer
0119966MedicaidIA
0121509MedicaidIA
40448OtherIABLUECROSS BLUESHIELD

Other names 1

  • Cedar Valley Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

3804 Hammond Ave
Waterloo, IA 50702
Phone (319) 291-7210

4537 Texas St
Waterloo, IA 50702

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1386649275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4537 TEXAS ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507024525",
            "telephone_number": "319-296-1363",
            "fax_number": "319-296-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 HAMMOND AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025618",
            "telephone_number": "319-291-7210",
            "fax_number": "319-233-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL BUS SALES CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "319-296-1363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119966",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121509",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "40448",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Valley Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.