Active NPI
City of Burlington
- Ambulance
- Burlington, IA
National Provider Identifier
1467593129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF BURLINGTON
- Practice address
- 418 Valley St
Burlington, IA 52601-5515 - Phone
- (319) 753-8396
- Fax
- (319) 754-9545
- NPI assigned
- Feb 8, 2007
- 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
- Mr. Matthew Allen Trexel
- Title
- Chief
- Phone
- (319) 753-8396
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 2290100IA | IA | |
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
418 Valley St
Burlington, IA 52601-5515
Mailing address
400 Washington Street
Burlington, IA 52601-5515
Phone (319) 753-8396
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014415 | Medicaid | IA | |
| 01441 | Other | IA | WELLMARK |
| 37-1230188 | Other | IL | ILLINOIS MEDICAID |
| 590043365 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090807000105 | IA | Part B Supplier - Ambulance Service Supplier | 7517010606 | Practice locations: Burlington, IA |
National Provider Directory
National Provider DirectoryLocations
400 Washington St
Burlington, IA 52601
2223 Summer St
Burlington, IA 52601
Phone (319) 753-8396
418 Valley St
Burlington, IA 52601
Phone (319) 753-8395
3400 Mount Pleasant St
Burlington, IA 52601
Phone (319) 671-0296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369094400000",
"number": "1467593129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WASHINGTON STREET",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526015515",
"telephone_number": "319-753-8396",
"fax_number": "319-754-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 VALLEY ST",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526015515",
"telephone_number": "319-753-8396",
"fax_number": "319-754-9545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BURLINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2013-05-21",
"status": "A",
"authorized_official_last_name": "TREXEL",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "319-753-8396",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "IA",
"license": "2290100IA",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014415",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "01441",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS MEDICAID",
"identifier": "37-1230188",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590043365",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.