Organization Active NPI

Midwest Ambulance Service of Iowa Inc

  • Land Ambulance
  • Grinnell, IA
National Provider Identifier
1487700035
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2790700 Issued in IA
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

Updated by the provider on Sep 5, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590008319OtherIARAILROAD MEDICARE
1218537MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.