Active NPI
West Hancock County Ambulance Serv Inc
- Land Ambulance
- Britt, IA
National Provider Identifier
1417982018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WEST HANCOCK COUNTY AMBULANCE SERV INC
- Practice address
- 20 1 Avenue SW
Britt, IA 50423 - Phone
- (641) 843-3750
- Fax
- (641) 843-3888
- NPI assigned
- Jul 11, 2006
- 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
- Jennifer Bourg
- Title
- Paramedic
- Phone
- (641) 843-3750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
20 1 Avenue SW
Britt, IA 50423
Mailing address
PO Box 347
Britt, IA 50423-0347
Phone (641) 843-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125211 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070905000567 | IA | Part B Supplier - Ambulance Service Supplier | 7517050685 | Practice locations: Britt, IA |
National Provider Directory
National Provider DirectoryLocations
20 1st Ave SW
Britt, IA 50423
Phone (641) 843-3750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359936000000",
"number": "1417982018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 347",
"city": "BRITT",
"state": "IA",
"postal_code": "504230347",
"telephone_number": "641-843-3750",
"fax_number": "641-843-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 1 AVENUE SW",
"city": "BRITT",
"state": "IA",
"postal_code": "50423",
"telephone_number": "641-843-3750",
"fax_number": "641-843-3888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST HANCOCK COUNTY AMBULANCE SERV INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2013-02-04",
"status": "A",
"authorized_official_last_name": "BOURG",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PARAMEDIC",
"authorized_official_telephone_number": "641-843-3750"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125211",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Britt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.