Organization Active NPI

City of Burlington

  • Ambulance
  • Burlington, IA
National Provider Identifier
1467593129
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on May 21, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014415MedicaidIA
01441OtherIAWELLMARK
37-1230188OtherILILLINOIS MEDICAID
590043365OtherIARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090807000105 IA Part B Supplier - Ambulance Service Supplier 7517010606 Practice locations: Burlington, IA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.