Active NPI
Midwest Ambulance Service of Iowa Inc
- Land Ambulance
- Grinnell, IA
National Provider Identifier
1487700035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2790700
- Legal business name
- MIDWEST AMBULANCE SERVICE OF IOWA INC
- Practice address
- 308 Park St
Grinnell, IA 50112-2538 - Phone
- (515) 252-1721
- Fax
- (515) 252-1725
- NPI assigned
- Jan 26, 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. Kim Eugene Chapman
- Title
- President
- Phone
- (515) 252-1721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2790700 | IA | Primary |
Addresses
Primary practice location
308 Park St
Grinnell, IA 50112-2538
Mailing address
2535 106TH St
Urbandale, IA 50322-3766
Phone (515) 252-1721
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590008319 | Other | IA | RAILROAD MEDICARE |
| 1218537 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080919000592 | IA | Part B Supplier - Ambulance Service Supplier | 2860569662 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Des Moines, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
308 Park St
Grinnell, IA 50112
Phone (319) 512-8811
2535 106th St
Urbandale, IA 50322
Phone (515) 278-0456
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Land Ambulance
- Des Moines, IA
- NPI 1225184864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1487700035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 106TH ST",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223766",
"telephone_number": "515-252-1721",
"fax_number": "515-252-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 PARK ST",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122538",
"telephone_number": "515-252-1721",
"fax_number": "515-252-1725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST AMBULANCE SERVICE OF IOWA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-252-1721",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2790700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590008319",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1218537",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.