Bi County Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2310400 Issued in IA

Legal business name

BI COUNTY AMBULANCE

Practice address

1503 6TH St SE
Dyersville, IA 52040-2054

Phone

(563) 875-8628

Fax

(563) 875-2764

NPI assigned

Dec 4, 2008

Organization subpart

No

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

Authorized official

Name

Judith R Boge, EMT

Title

Office Manager

Phone

(563) 875-8628

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1457596405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "address_2": "1503 6TH ST SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520400027",
            "telephone_number": "563-875-8628",
            "fax_number": "563-875-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 6TH ST SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520402054",
            "telephone_number": "563-875-8628",
            "fax_number": "563-875-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BI COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "BOGE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "563-875-8628",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2310400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.

Verify at the official NPI Registry.