Organization Active NPI

North Benton Ambulance Service, Inc.

  • Ambulance
  • Vinton, IA
National Provider Identifier
1457438251
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
2060500 Issued in IA
Legal business name
NORTH BENTON AMBULANCE SERVICE, INC.
Practice address
704 W 4TH St
Vinton, IA 52349-1174
Phone
(319) 472-2091
Fax
(319) 472-5629
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Mrs. Melissa Jo Wise
Title
Manager
Phone
(515) 887-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 2060500 IA Primary

Addresses

Primary practice location

704 W 4TH St
Vinton, IA 52349-1174

Mailing address

704 W 4TH St
Vinton, IA 52349-1174
Phone (319) 472-2091

Other identifiers 1

IdentifierTypeStateIssuer
0063396MedicaidIA

National Provider Directory

National Provider Directory

Locations

704 W 4th St
Vinton, IA 52349
Phone (319) 472-2091

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1457438251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W 4TH ST",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491174",
            "telephone_number": "319-472-2091",
            "fax_number": "319-472-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W 4TH ST",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491174",
            "telephone_number": "319-472-2091",
            "fax_number": "319-472-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BENTON AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "515-887-3553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "2060500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063396",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.