Active NPI
School Bus Sales Co.
- Durable Medical Equipment & Medical Supplies
- Waterloo, IA
National Provider Identifier
1386649275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119966 | Medicaid | IA | |
| 0121509 | Medicaid | IA | |
| 40448 | Other | IA | BLUECROSS BLUESHIELD |
Other names 1
- Cedar Valley Mobility
National Provider Directory
National Provider DirectoryLocations
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.