Active NPI
North Benton Ambulance Service, Inc.
- Ambulance
- Vinton, IA
National Provider Identifier
1457438251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 2060500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0063396 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Paramedic
- Vinton, IA
- NPI 1760358063
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.