City of Montezuma

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2790300 Issued in IA

Legal business name

CITY OF MONTEZUMA

Doing business as

Montezuma Ambulance Service

Practice address

503 E Main St
Montezuma, IA 50171-0314

Phone

(641) 623-5617

Fax

(641) 623-3726

NPI assigned

Oct 5, 2006

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Meryll Hicks

Title

City Clerk

Phone

(641) 623-5617

Specialties & licenses 1

Addresses

Other names 1

• MONTEZUMA AMBULANCE SERVICE Doing business as

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1467548636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "address_2": "PO BOX 314",
            "city": "MONTEZUMA",
            "state": "IA",
            "postal_code": "501710314",
            "telephone_number": "641-623-5617",
            "fax_number": "641-623-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E MAIN ST",
            "city": "MONTEZUMA",
            "state": "IA",
            "postal_code": "501710314",
            "telephone_number": "641-623-5617",
            "fax_number": "641-623-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONTEZUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "MERYLL",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "641-623-5617",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2790300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTEZUMA AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Drug Co Inc
• Care Initiatives (Montezuma Specialty Care)
• Dental Temp Services
• Diamond Life Health Care, Inc.
• Diamond Trail Dental PC (Diamond Trail Dental)
• Sara Erselius, LISW, RPT
• Grinnell Regional Medical Center (Unitypoint Health - Grinnell Montezuma Medical Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.