Town of Gladbrook

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

8604 Issued in IA

Legal business name

TOWN OF GLADBROOK

Practice address

1254 Hwy 96
Gladbrook, IA 50635

Phone

(641) 473-2281

Fax

(641) 473-2281

NPI assigned

Nov 19, 2005

Organization subpart

No

Name

Ryan Sutcliffe

Title

President

Phone

(641) 473-2281

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

• Gladbrook-Lincoln Ambulance Service Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2018.

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1477535870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "GLADBROOK",
            "state": "IA",
            "postal_code": "50635",
            "telephone_number": "641-473-2281",
            "fax_number": "541-473-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 HWY 96",
            "city": "GLADBROOK",
            "state": "IA",
            "postal_code": "50635",
            "telephone_number": "641-473-2281",
            "fax_number": "641-473-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GLADBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-19",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "SUTCLIFFE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-473-2281"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "8604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladbrook-Lincoln Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Inc
• Meleah R. Jensen Schneider, PA-C
• Madsen Inc
• Gregory E. Randolph, PA-C

• All providers in Gladbrook, IA
• Land Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.